Christine A Davirro, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00585000 Issued in NJ

Practice address

106 Straube Center Blvd
Pennington, NJ 08534-1449

Phone

(609) 208-3053

NPI assigned

Aug 21, 2019

Last updated

Aug 21, 2019By 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 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Main Street Counseling, LLC

  • Professional Counselor
  • Allentown, NJ
  • NPI 1043610140
  Medicare reassignment NPD

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1467009845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OLD FOUNDRY DR",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085343112",
            "telephone_number": "609-937-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 STRAUBE CENTER BLVD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341449",
            "telephone_number": "609-208-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIRRO",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00585000",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Harold Dalton, D.O.
• Jo-Ellen Danna, APN
• Christine Thooharis Danser, CNM MSN
• Sanjana Das, DO
• Jennifer Dave, PH.D.
• Dawn Raffa PHD
• Joseph Anthony De Santis, M.D.
• Brianna Marie Deblois, PA
• Donald J Debrakeleer, DO
• Amanda Decker, CRNP, PMHNP

• Professional Counselor in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.