Marisol Roxana Mondaca, LPC, LCADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00352800 Issued in NJ

Practice address

232 Norwood Ave
Suite 5
West Long Branch, NJ 07764-1859

Phone

(732) 403-1377

NPI assigned

Feb 2, 2009

Last updated

Feb 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1528206273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 LOCKWOOD AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077404804",
            "telephone_number": "732-403-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 NORWOOD AVE",
            "address_2": "SUITE 5",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641859",
            "telephone_number": "732-403-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDACA",
        "first_name": "MARISOL",
        "middle_name": "ROXANA",
        "credential": "LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00135800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00352800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maikee Bernadette Migallos, ATC
• Angela M Miller, M.D.
• Lauren Carrie Moczerniuk, PT, DPT
• Dennis Edgardo C Mojares Sr., M.D.
• Christian D Mojica, BCBA
• Monmouth Cares, Inc.
• Monmouth Hem Onc Assoc PA
• Monmouth Manual Therapy, LLC
• Morris Laitman P a
• Morris Laitman,P.a.

• Mental Health Counselor in West Long Branch, NJ
• Providers in West Long Branch, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.