Individual provider Active NPI

Nicole Wolpin

  • Mental Health Counselor
  • Avenel, NJ
National Provider Identifier
1457008286
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00627700 Issued in NJ
Practice address
1500 Saint Georges Ave Ste E
Avenel, NJ 07001-1000
Phone
(856) 772-5809
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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 37AC00627700 NJ Primary

Addresses

Primary practice location

1500 Saint Georges Ave Ste E
Avenel, NJ 07001-1000

Mailing address

1500 Saint Georges Ave Ste E
Avenel, NJ 07001-1000

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
I20250609003502 NJ Practitioner - Mental Health Counselor 5496265407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inner Clarity CounselingGroup PAC ID 8022442078, 10 clinicians

Practice addresses (Care Compare)

Hazlet, NJ 07730
Phone (732) 639-0232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00627700NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Clarity Counseling CurrentSince Apr 20, 2025 Accepting new patients
Total Family Solutions, LLC PastSince Mar 6, 2022 Accepting new patients
Total Family Solutions, LLC PastSince Mar 6, 2022 Accepting new patients
Inner Clarity LLC PastSince Sep 29, 2019 Accepting new patients

Locations

22 Village Ct
Hazlet, NJ 07730
Phone (732) 639-0232

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": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1457008286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SAINT GEORGES AVE STE E",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAINT GEORGES AVE STE E",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011000",
            "telephone_number": "856-772-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLPIN",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00627700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

Verify at the official NPI Registry.