Individual provider Active NPI

Cheryl Fay, L.C.S.W

  • Mental Health Counselor
  • Asbury Park, NJ
National Provider Identifier
1437512464
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC05635300 Issued in NJ
Practice address
300 Emory St Unit 209
Asbury Park, NJ 07712-7131
Phone
(908) 309-2737
NPI assigned
Mar 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 44SC05635300 NJ Primary

Addresses

Primary practice location

300 Emory St Unit 209
Asbury Park, NJ 07712-7131

Mailing address

300 Emory St Unit 209
Asbury Park, NJ 07712-7131
Phone (908) 309-2737

Other practice location 1

1811 Beverly Ave
Spring Lake, NJ 07762-2005
Phone (908) 309-2737

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
44SC05635300NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Counseling Services, LLC Mental Health CurrentSince Nov 5, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1437512464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EMORY ST UNIT 209",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077127131",
            "telephone_number": "908-309-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EMORY ST UNIT 209",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077127131",
            "telephone_number": "908-309-2737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 Beverly Ave",
            "address_purpose": "LOCATION",
            "city": "Spring Lake",
            "state": "NJ",
            "postal_code": "077622005",
            "country_code": "US",
            "telephone_number": "908-309-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAY",
        "first_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05635300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.