Mira Desai, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00816800 Issued in NJ

Practice address

233 Mount Airy Rd
Basking Ridge, NJ 07920-2338

Phone

(917) 533-5871

NPI assigned

Nov 16, 2021

Last updated

Jan 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychological Services of NJ PCGroup PAC ID 2769748110, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Psychological Services of NJ PC

  • Clinical Psychologist
  • Basking Ridge, NJ
  • NPI 1134638828
  Medicare reassignment Care Compare group NPD
• Mira Desai, LLC

  • Professional Counselor
  • Basking Ridge, NJ
  • NPI 1487429460
  Authorized official Same address or phone

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1518623388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CONKLING ST",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201715",
            "telephone_number": "917-533-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MOUNT AIRY RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202338",
            "telephone_number": "917-533-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "MIRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00816800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Veterans Affairs, NJ Health Care System
• Lauren Deprima
• Allison Derenzi, DDS
• Peggy L Derosa, PTA
• Amy Desai
• Purvi D Desai, PA-C
• Ruchita Desai, PHARM. D.
• Whitney Charnell Dessio, M.D., MPH
• Gregory Frederick Dimesa, DO
• Donnald Lorne Dindinger, D.C.

• Professional Counselor in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.