Individual provider Active NPI

Sharon Moleski, MA, LPC, LCADC, NCC

  • Professional Counselor
  • Eatontown, NJ
National Provider Identifier
1548417694
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00371300 Issued in NJ
Practice address
56 Jamestown Rd
Eatontown, NJ 07724-2433
Phone
(732) 531-2600
Fax
(732) 517-8567
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00150500 NJ
Professional Counselor 101YP2500X 37PC00371300 NJ Primary

Addresses

Primary practice location

56 Jamestown Rd
Eatontown, NJ 07724-2433

Mailing address

56 Jamestown Rd
Eatontown, NJ 07724-2433
Phone (732) 531-2600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250613001722 NJ Practitioner - Mental Health Counselor 8729599253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain Health CenterGroup PAC ID 1557872082, 2 clinicians

Practice addresses (Care Compare)

3100 Route 138 W
BLDG 2
Wall Township, NJ 07719-9020
Phone (848) 404-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37LC00150500NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Health Center Addiction (Substance Use Disorder) CurrentSince Aug 28, 2012 Accepting new patients

Locations

3100 State Route 138
Ste 2
Wall Township, NJ 07719
Phone (732) 747-8480

3100 State Route 138
Ste 1
Wall Township, NJ 07719
Phone (973) 294-0519

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1548417694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 JAMESTOWN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242433",
            "telephone_number": "732-531-2600",
            "fax_number": "732-517-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 JAMESTOWN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242433",
            "telephone_number": "732-531-2600",
            "fax_number": "732-517-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLESKI",
        "first_name": "SHARON",
        "credential": "MA, LPC, LCADC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00150500",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00371300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.