Marcia Takach

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44C00125600 Issued in NJ

Practice address

999 Riverview Dr
Totowa, NJ 07512-1164

Phone

(551) 276-8291

NPI assigned

Mar 4, 2024

Last updated

Mar 4, 2024By 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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Human Institute LLC

  • Mental Health Counselor
  • Fairfield, NJ
  • NPI 1922729185
  Medicare reassignment NPD

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1538926985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SUSSEX RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070122017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 RIVERVIEW DR",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121164",
            "telephone_number": "551-276-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKACH",
        "first_name": "MARCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44C00125600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles D Sullivan, PHD
• Ryan Charles Sullivan, PSY.D.
• Summit Chiropractic LLC
• Naim Fahkree Sylvester, DMD
• T & F Drugs Inc (Burgio's Pharmacy)
• Gregory Tamagnini, D.P.M
• Samir Tammous
• Maria E Tapia, LCSW
• Tawfik Spine LLC
• Tamir Ahmed Tawfik, M.D.

• Mental Health Counselor in Totowa, NJ
• Providers in Totowa, 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 Mar 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.