Individual provider Active NPI

Elissa Arbeitman, ATR-BC, LCAT, LPAT

  • Mental Health Counselor
  • Belmar, NJ
National Provider Identifier
1417014135
Registry record updated Sep 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000134-01 Issued in NY
Practice address
801 Main St Ste C
Belmar, NJ 07719-2995
Phone
(347) 804-8249
NPI assigned
Jan 2, 2007
Reactivated
Jun 1, 2022
Last updated
Sep 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000134-01 NY Primary
Mental Health Counselor 101YM0800X 16LP00001300 NJ
Art Therapist 221700000X NU
Art Therapist 221700000X 000134 NY
Art Therapist 221700000X 16LP00001300 NJ

Addresses

Primary practice location

801 Main St Ste C
Belmar, NJ 07719-2995

Mailing address

801 Main St Ste C
Belmar, NJ 07719-2995
Phone (347) 804-8249

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

State licenses

LicenseStateTypeSpecialty
16LP00001300NJMDMental Health Counselor
000134-01NYMDMental Health Counselor
000134NYMDPsychoanalyst

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Art, LLC Dba Wild and Free Painting Mental Health CurrentSince Jan 21, 2022 Accepting new patients

Locations

660 Tennent Rd
Ste 106
Manalapan, NJ 07726
Phone (347) 804-8249

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693612800000",
    "number": "1417014135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MAIN ST STE C",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192995",
            "telephone_number": "347-804-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MAIN ST STE C",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192995",
            "telephone_number": "347-804-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBEITMAN",
        "first_name": "ELISSA",
        "credential": "ATR-BC, LCAT, LPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "deactivation_date": "2022-01-19",
        "reactivation_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000134-01",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "16LP00001300",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "000134",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NJ",
            "license": "16LP00001300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmar, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2023; 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.