Active NPI
Joan Anderson
- Mental Health Counselor
- Maplewood, NJ
National Provider Identifier
1396474763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 111 Dunnell Rd Ste 201
Maplewood, NJ 07040-2634 - Phone
- (973) 330-8123
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
111 Dunnell Rd Ste 201
Maplewood, NJ 07040-2634
Mailing address
348 Hoover Ave Apt 90
Bloomfield, NJ 07003-3963
Phone (973) 337-7942
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dfoulkes@sophoscounseling.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah Foulkes LLC | Mental Health | Current | Accepting new patients |
Locations
111 Dunnell Rd
Ste 201
Maplewood, NJ 07040
Phone (973) 330-8123
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1396474763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 HOOVER AVE APT 90",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033963",
"telephone_number": "973-337-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DUNNELL RD STE 201",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402634",
"telephone_number": "973-330-8123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JOAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dfoulkes@sophoscounseling.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "111 Dunnell Rd Ste 201",
"city": "Maplewood",
"state": "NJ",
"country_code": "US",
"postal_code": "070402634",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.