Individual provider Active NPI

Danielle Wittner

  • Addiction (Substance Use Disorder) Counselor
  • Sparta, NJ
National Provider Identifier
1578186243
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00306800 Issued in NJ
Practice address
25 Main St
Sparta, NJ 07871-1937
Phone
(862) 268-3101
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL065586 NJ
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 37LC00306800 NJ Primary

Addresses

Primary practice location

25 Main St
Sparta, NJ 07871-1937

Mailing address

202 Rockaway Ave
Rockaway, NJ 07866-3909
Phone (973) 216-4649

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sparta

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
37LC00306800NJMDAddiction (Substance Use Disorder) Counselor
44SL065586NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1578186243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ROCKAWAY AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663909",
            "telephone_number": "973-216-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN ST",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711937",
            "telephone_number": "862-268-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTNER",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL065586",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00306800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sparta",
            "affiliation": "N",
            "endpointDescription": "willowtreetherapyservices.com",
            "address_1": "25 Main St",
            "city": "Sparta",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078711937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.