Individual provider Active NPI

Ellen Brophy, LPC

  • Professional Counselor
  • Hackensack, NJ
National Provider Identifier
1508442393
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00757000 Issued in NJ
Practice address
25 E Salem St
Hackensack, NJ 07601-7427
Phone
(201) 646-0333
NPI assigned
Mar 22, 2021
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00757000 NJ Primary

Addresses

Primary practice location

25 E Salem St
Hackensack, NJ 07601-7427

Mailing address

25 E Salem St
Hackensack, NJ 07601-7427
Phone (201) 646-0333

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
I20240213003395 NJ Practitioner - Mental Health Counselor 6800246034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Behavioral Healthcare, Inc.Group PAC ID 4486640653, 23 clinicians

Practice addresses (Care Compare)

25 E Salem St
Hackensack, NJ 07601-7427
Phone (201) 646-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00757000NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behavioral Healthcare, Inc. Professional CurrentSince Jan 10, 2024 Accepting new patients

Locations

25 E Salem St
Hackensack, NJ 07601
Phone (201) 546-5839

516 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 935-3322

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1508442393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E SALEM ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017427",
            "telephone_number": "201-646-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E SALEM ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017427",
            "telephone_number": "201-646-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROPHY",
        "first_name": "ELLEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00757000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.