Individual provider Active NPI

Nicole K Cardillo, NJ LPC

  • Counselor
  • Hamilton, NJ
National Provider Identifier
1538853981
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC010455500 Issued in NJ
Practice address
2277 Rout 33
Suite 408
Hamilton, NJ 08690
Phone
(732) 851-4808
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC010455500 NJ Primary

Addresses

Primary practice location

2277 Rout 33
Suite 408
Hamilton, NJ 08690

Mailing address

1011 Matthew Rd
Morganville, NJ 07751-9543
Phone (732) 737-1792

Other practice location 1

660 Tennent Rd Ste 104
Manalapan, NJ 07726-3163
Phone (732) 851-4808

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

LicenseStateTypeSpecialty
37PC010455500NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling & Development Center, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1538853981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MATTHEW RD",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077519543",
            "telephone_number": "732-737-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 ROUT 33",
            "address_2": "SUITE 408",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "732-851-4808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Tennent Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077263163",
            "country_code": "US",
            "telephone_number": "732-851-4808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDILLO",
        "first_name": "NICOLE",
        "middle_name": "K",
        "credential": "NJ LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC010455500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.