Meredith Gonzenbach, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

16 Madison Ave
Madison, NJ 07940-1433

Phone

(973) 845-6602

NPI assigned

Dec 11, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Evaluation and Counseling, Inc.

  • Community/Behavioral Health Agency
  • Sparta, NJ
  • NPI 1265554588
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1396383253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 ROUTE 10 STE 129",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MADISON AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401433",
            "telephone_number": "973-845-6602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1719 Route 10 Ste 129",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070544539",
            "country_code": "US",
            "telephone_number": "973-829-8960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 Woodport Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "NJ",
            "postal_code": "078712645",
            "country_code": "US",
            "telephone_number": "973-512-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZENBACH",
        "first_name": "MEREDITH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria T. Paknis, MSW, LLC
• Roberto Sabellano Go Jr., P.T.
• Yusun Gohard, DDS
• Nrupaben Hirenkumar Gonsai
• Leticia Ramos Gonzalez, M.D.
• Denise Gormley, ATC
• Lawrence Mark Gorzelnik, MD DMD
• Grace Counseling Center
• Lisa R Greenberg, PH.D.
• Kathleen Griffin, L.P.C.

• Professional Counselor in Madison, NJ
• Providers in Madison, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.