Individual provider Active NPI

Nancy Intilli Mertens, MS, LPC, ATR-BC

  • Art Therapist
  • Shrewsbury, NJ
National Provider Identifier
1457552861
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Practice address
149 Avenue at the CMN Ste 4
Shrewsbury, NJ 07702-4583
Phone
(201) 320-5841
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X Primary

Addresses

Primary practice location

149 Avenue at the CMN Ste 4
Shrewsbury, NJ 07702-4583

Mailing address

43 Independence Way
Jersey City, NJ 07305-5441
Phone (201) 320-5841

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Therapists, LLC CurrentSince Jan 12, 2020 Accepting new patients

Locations

149 Avenue At the Cmn
Ste 4
Shrewsbury, NJ 07702
Phone (509) 599-4826

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1457552861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 INDEPENDENCE WAY",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073055441",
            "telephone_number": "201-320-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 AVENUE AT THE CMN STE 4",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024583",
            "telephone_number": "201-320-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTENS",
        "first_name": "NANCY",
        "middle_name": "INTILLI",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.