Individual provider Active NPI

Stephanie Palmer McMahon, LCSW

  • Mental Health Counselor
  • New Egypt, NJ
National Provider Identifier
1508912460
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC05174800 Issued in NJ
Practice address
54 Main St
New Egypt, NJ 08533-1413
Phone
(609) 758-1237
Fax
(609) 758-1237
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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 44SC05174800 NJ Primary

Addresses

Primary practice location

54 Main St
New Egypt, NJ 08533-1413

Mailing address

54 Main St
New Egypt, NJ 08533-1413
Phone (609) 758-1237

Other names 1

  • Mrs. Stephanie H. Palmer Professional name

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
I20120406000348 NJ Practitioner - Clinical Social Worker 0042471633 Reassigns benefits to 2 organizations
Practice locations: New Egypt, NJ; Freehold, NJ; Allentown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 Church St
Allentown, NJ 08501-1623
Phone (908) 692-6402

54 Main St
New Egypt, NJ 08533-1413
Phone (908) 692-6402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05174800NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elder Life Management LLC CurrentSince Sep 9, 2019 Accepting new patients
Neuropsychology & Counseling Associates, LLC CurrentSince Nov 16, 2019 Accepting new patients
Premier Care LLC Dba Elder Life Home Care LLC PastSince Sep 9, 2019 Accepting new patients

Locations

1683 Route 88 W
Ste A
Brick, NJ 08724
Phone (732) 840-5266

4000 State Route 66
Ste 225
Tinton Falls, NJ 07753

Organizations & group practices 3

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1508912460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "city": "NEW EGYPT",
            "state": "NJ",
            "postal_code": "085331413",
            "telephone_number": "609-758-1237",
            "fax_number": "609-758-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "city": "NEW EGYPT",
            "state": "NJ",
            "postal_code": "085331413",
            "telephone_number": "609-758-1237",
            "fax_number": "609-758-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER MCMAHON",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05174800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "PALMER",
            "middle_name": "H.",
            "prefix": "MRS.",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Egypt, NJ

Sources for this page

Verify at the official NPI Registry.