Courtney Paige Joaquin, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00779200 Issued in NJ

Practice address

16-01 Broadway
Fair Lawn, NJ 07410-2026

Phone

(201) 389-5326

NPI assigned

Oct 11, 2024

Last updated

Oct 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Counseling Center at Fair Lawn, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fair Lawn, NJ
  • NPI 1407276975
  NPD

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1437979788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 RAYMOND AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102130",
            "telephone_number": "973-856-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-01 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102026",
            "telephone_number": "201-389-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOAQUIN",
        "first_name": "COURTNEY",
        "middle_name": "PAIGE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00779200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette Lynn Jernegan
• Jerry H Stahl DMD PC (Stahl Dental Studio)
• Gracel Jerschina, LAC
• Jewish Association for Developmental Disabilities (J-ADD Inc.)
• Jiffy Scripts RX, LLC
• Jointkare Physical Therapy and Services Professional Association
• Jonathan W Parker DMD PA
• Amanda Jones
• Albert M Joseph, MD
• Jobin Joseph, PT, DPT

• Mental Health Counselor in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.