Audrey Costa, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00875400 Issued in NJ

Practice address

11-13 Sunflower Ave Ste 1060
Paramus, NJ 07652-3754

Phone

(201) 485-6011

NPI assigned

Jun 13, 2025

Last updated

Jun 13, 2025By 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

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": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1528954039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIDGE RD",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-13 SUNFLOWER AVE STE 1060",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523754",
            "telephone_number": "201-485-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Seber Rd",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078401722",
            "country_code": "US",
            "telephone_number": "862-324-1232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "AUDREY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00875400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Coronado, RD
• Alexa Cosgrove, MS, RDN, CSN
• Cosmedical Dermatology PA
• Cosmedical Plastic Surgery & Dermatology, PA (Baxt CosMedical)
• Cosmedical Plastic Surgery & Dermatology, PA (Baxt CosMedical)
• Melanie A Costa
• Nicole Costello, LCSW
• Margo Maria Cottone
• Sarah Theresa Couch, LCSW, LCADC
• Matthew Mason Counihan, MD

• Mental Health Counselor in Paramus, NJ
• Providers in Paramus, 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 Jun 13, 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.

Verify at the official NPI Registry.