Active NPI
Maureen Regina Chauncey, PHD, LPC
- Professional Counselor
- Bloomfield, NJ
National Provider Identifier
1477071140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00581600
- Practice address
- 1012 Broad St
Bloomfield, NJ 07003-2807 - Phone
- (972) 338-1244
- NPI assigned
- Sep 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00581600 | NJ | Primary |
Addresses
Primary practice location
1012 Broad St
Bloomfield, NJ 07003-2807
Mailing address
26 Davey St
Bloomfield, NJ 07003-5118
Phone (862) 202-9131
Other practice location 1
26 Davey St
Bloomfield, NJ 07003-5118
Phone (862) 202-9131
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00581600 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477071140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 DAVEY ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070035118",
"telephone_number": "862-202-9131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 BROAD ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032807",
"telephone_number": "972-338-1244"
}
],
"practiceLocations": [
{
"address_1": "26 Davey St",
"address_purpose": "LOCATION",
"city": "Bloomfield",
"state": "NJ",
"postal_code": "070035118",
"country_code": "US",
"telephone_number": "862-202-9131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAUNCEY",
"first_name": "MAUREEN",
"middle_name": "REGINA",
"name_prefix": "Dr.",
"credential": "PHD, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00581600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, NJ
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.