Individual provider Active NPI

Gladys Francis Mari, LCSW

  • Mental Health Counselor
  • Toms River, NJ
National Provider Identifier
1487700621
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SC03997 Issued in NJ
Practice address
40 Bey Lea Rd Ste B201
Toms River, NJ 08753-2974
Phone
(732) 818-0303
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SC03997 NJ Primary

Addresses

Primary practice location

40 Bey Lea Rd Ste B201
Toms River, NJ 08753-2974

Mailing address

2217 Edgar Rd
Point Pleasant Beach, NJ 08742-4419

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
I20041130000281 NJ Practitioner - Clinical Social Worker 3678538857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sage Wellness Center LLCGroup PAC ID 8729386370, 6 clinicians

Practice addresses (Care Compare)

1901 Lakewood Rd
Suite 200
Toms River, NJ 08755-1211
Phone (732) 505-4612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC03997NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Wellness Center LLC CurrentSince Jul 21, 2017 Accepting new patients

Locations

1901 Lakewood Rd
Ste 200
Toms River, NJ 08755
Phone (732) 262-7747

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": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487700621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 EDGAR RD",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "087424419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD STE B201",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532974",
            "telephone_number": "732-818-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARI",
        "first_name": "GLADYS",
        "middle_name": "FRANCIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "SC03997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.