Nancy L Douglass, MA, LPC, LCADC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00443300 Issued in NJ

Practice address

191 W Portal Rd
Asbury, NJ 08802-1136

Phone

(908) 391-2859

NPI assigned

Mar 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337385600000",
    "number": "1548535438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 W PORTAL RD",
            "city": "ASBURY",
            "state": "NJ",
            "postal_code": "088021136",
            "telephone_number": "908-391-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 W PORTAL RD",
            "city": "ASBURY",
            "state": "NJ",
            "postal_code": "088021136",
            "telephone_number": "908-391-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "NANCY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, LCADC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00443300",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00185300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Antoine-Lackish, PMHNP
• Danielle Alexandra Archipoli
• Martha Bou-Chedid, NP
• Joseph Michael Estacio, D.O.
• Patricia Anne Gardner, DMD
• Morgan Hamler, RDN
• Pamela Eck Hutchison
• Integramed Medical New Jersey, LLC

• Professional Counselor in Asbury, NJ
• Providers in Asbury, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2012; 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.