Active NPI
Richard Allen Gagne III, LAC
- Mental Health Counselor
- Phillipsburg, NJ
National Provider Identifier
1508665894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00832600
- Practice address
- 700 Sayre Ave
Phillipsburg, NJ 08865-3326 - Phone
- (908) 484-2074
- Fax
- (908) 319-7660
- NPI assigned
- Mar 10, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00832600 | NJ | Primary |
Addresses
Primary practice location
700 Sayre Ave
Phillipsburg, NJ 08865-3326
Mailing address
700 Sayre Ave
Phillipsburg, NJ 08865-3326
Phone (908) 484-2074
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00832600 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1508665894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SAYRE AVE",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088653326",
"telephone_number": "908-484-2074",
"fax_number": "908-319-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SAYRE AVE",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088653326",
"telephone_number": "908-484-2074",
"fax_number": "908-319-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNE",
"first_name": "RICHARD",
"middle_name": "ALLEN",
"name_suffix": "III",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00832600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.