Active NPI
Brandon Whigham, LPC, LCADC, ACS, NCC
- Professional Counselor
- South Orange, NJ
National Provider Identifier
1497357214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00738200
- Practice address
- 471 Tremont Ave Apt 9S
South Orange, NJ 07050 - Phone
- (862) 214-4939
- NPI assigned
- Nov 16, 2020
- Last updated
- Nov 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00347000 | NJ | |
| Professional Counselor | 101YP2500X | 37PC00738200 | NJ | Primary |
Addresses
Primary practice location
471 Tremont Ave Apt 9S
South Orange, NJ 07050
Mailing address
4 S Orange Ave # 225
South Orange, NJ 07079-1702
Phone (862) 214-4939
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00347000 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1497357214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 S ORANGE AVE # 225",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070791702",
"telephone_number": "862-214-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 TREMONT AVE APT 9S",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "07050",
"telephone_number": "862-214-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHIGHAM",
"first_name": "BRANDON",
"credential": "LPC, LCADC, ACS, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-16",
"last_updated": "2022-11-30",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00347000",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00738200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.