Individual provider Active NPI

Irys Pineda, M.A., LAC

  • Mental Health Counselor
  • Princeton, NJ
National Provider Identifier
1558071704
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00689900 Issued in NJ
Practice address
29 Emmons Dr Ste G30
Princeton, NJ 08540-5971
Phone
(609) 237-0088
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00689900 NJ Primary

Addresses

Primary practice location

29 Emmons Dr Ste G30
Princeton, NJ 08540-5971

Mailing address

296 Wildflower LN
Hillsborough, NJ 08844-4873
Phone (908) 477-1712

Other practice location 1

21 E High St
Somerville, NJ 08876-2320
Phone (908) 477-1712

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37AC00689900NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ctrlcare Behavioral Health Princeton LLC PastSince Dec 6, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1558071704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 WILDFLOWER LN",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444873",
            "telephone_number": "908-477-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 EMMONS DR STE G30",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405971",
            "telephone_number": "609-237-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 E High St",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "NJ",
            "postal_code": "088762320",
            "country_code": "US",
            "telephone_number": "908-477-1712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "IRYS",
        "credential": "M.A., LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00689900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.