Individual provider Active NPI

Tara Donatiello, LPC, NCC

  • Professional Counselor
  • Rockaway, NJ
National Provider Identifier
1558095547
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01102100 Issued in NJ
Practice address
217 E Main St
Rockaway, NJ 07866-3602
Phone
(732) 865-5288
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC01102100 NJ Primary

Addresses

Primary practice location

217 E Main St
Rockaway, NJ 07866-3602

Mailing address

32 Highland TRL
Denville, NJ 07834-2012
Phone (201) 303-8731

Other practice location 1

210 Summit Ave Ste C2-A
Montvale, NJ 07645-1576
Phone (201) 383-5056

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

State licenses

LicenseStateTypeSpecialty
37PC01102100NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling Services, LLC Professional CurrentSince Jul 17, 2022 Accepting new patients
Elements Psychological Services, LLC PastSince Mar 21, 2021 Accepting new patients

Locations

217 E Main St
Rockaway, NJ 07866
Phone (732) 865-5288

Organizations & group practices 2

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1558095547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HIGHLAND TRL",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342012",
            "telephone_number": "201-303-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E MAIN ST",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663602",
            "telephone_number": "732-865-5288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Summit Ave Ste C2-A",
            "address_purpose": "LOCATION",
            "city": "Montvale",
            "state": "NJ",
            "postal_code": "076451576",
            "country_code": "US",
            "telephone_number": "201-383-5056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONATIELLO",
        "first_name": "TARA",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01102100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.