Active NPI
Dana Brodhecker, MA, LPC
- Mental Health Counselor
- Park Ridge, NJ
National Provider Identifier
1427620020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC01014900
- Practice address
- 175 Kinderkamack Rd # 1042
Park Ridge, NJ 07656-1335 - Phone
- (201) 500-5997
- NPI assigned
- Jul 13, 2021
- Last updated
- Apr 2, 2026
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC01014900 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Counseling Associates, LLC | Mental Health | Past | 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.