Active NPI
Sharon Moleski, MA, LPC, LCADC, NCC
- Professional Counselor
- Eatontown, NJ
National Provider Identifier
1548417694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00371300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00150500 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain Health Center | Addiction (Substance Use Disorder) | Current | 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.
-
- Professional Counselor
- Wall Township, NJ
- NPI 1316377187
Addiction (Substance Use Disorder)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.