Individual provider Active NPI

Phyllis Ama Darkwa

  • Professional Counselor
  • Edison, NJ
National Provider Identifier
1447628102
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
180 Talmadge Rd # 245
Edison, NJ 08817-2860
Phone
(732) 259-0566
NPI assigned
Sep 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NJ Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

180 Talmadge Rd # 245
Edison, NJ 08817-2860

Mailing address

180 Talmadge Rd # 245
Edison, NJ 08817-2860
Phone (732) 259-0566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310003701 NJ Practitioner - Mental Health Counselor 3870076672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

505 Main St
Toms River, NJ 08753-7443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yen Kasa Therapy Center Mental Health CurrentSince Jun 16, 2024 Accepting new patients
Lifebulb LLC Mental Health CurrentSince Jan 27, 2026 Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Locations

180 Talmadge Rd
#245
Edison, NJ 08817
Phone (732) 259-0566

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

Organizations & group practices 4

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": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1447628102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 TALMADGE RD # 245",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172860",
            "telephone_number": "732-259-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 TALMADGE RD # 245",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172860",
            "telephone_number": "732-259-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARKWA",
        "first_name": "PHYLLIS",
        "middle_name": "AMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.