Active NPI
Audra E Socinski, LPC
- Professional Counselor
- Montclair, NJ
National Provider Identifier
1437523644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00533400
- Practice address
- 460 Bloomfield Ave
Suite 400
Montclair, NJ 07042-3582 - Phone
- (973) 873-7485
- NPI assigned
- Nov 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00533400 | NJ | Primary |
Addresses
Primary practice location
460 Bloomfield Ave
Suite 400
Montclair, NJ 07042-3582
Mailing address
460 Bloomfield Ave
Suite 400
Montclair, NJ 07042-3418
Phone (973) 873-7485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 15, 2024 through Mar 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00533400 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audra Socinski, Psychotherapy | Current | 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.
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- Charlotte, VT
- NPI 1821789546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1437523644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 BLOOMFIELD AVE",
"address_2": "SUITE 400",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423418",
"telephone_number": "973-873-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 BLOOMFIELD AVE",
"address_2": "SUITE 400",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423582",
"telephone_number": "973-873-7485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCINSKI",
"first_name": "AUDRA",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-25",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00533400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.