Individual provider Active NPI

Dana Brodhecker, MA, LPC

  • Mental Health Counselor
  • Park Ridge, NJ
National Provider Identifier
1427620020
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC01014900 Issued in NJ
Practice address
175 Kinderkamack Rd # 1042
Park Ridge, NJ 07656-1335
Phone
(201) 500-5997
NPI assigned
Jul 13, 2021
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC01014900 NJ Primary

Addresses

Primary practice location

175 Kinderkamack Rd # 1042
Park Ridge, NJ 07656-1335

Mailing address

175 High St
Newton, NJ 07860-1004

Other practice location 1

175 High St
Newton, NJ 07860-1004
Phone (973) 579-8681

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC01014900NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Counseling Associates, LLC Mental Health PastSince Sep 15, 2024 Accepting new patients

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1427620020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 HIGH ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 KINDERKAMACK RD # 1042",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561335",
            "telephone_number": "201-500-5997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 High St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NJ",
            "postal_code": "078601004",
            "country_code": "US",
            "telephone_number": "973-579-8681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODHECKER",
        "first_name": "DANA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01014900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.