Individual provider Active NPI

Niya Baraka, LPC, LCADC

  • Mental Health Counselor
  • East Orange, NJ
National Provider Identifier
1588038582
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00612200 Issued in NJ
Practice address
137 Evergreen PL Ste 2D
East Orange, NJ 07018-2005
Phone
(973) 678-0550
Fax
(973) 678-1177
NPI assigned
Nov 15, 2015
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00191700 NJ
Mental Health Counselor 101YM0800X 37PC00612200 NJ Primary

Addresses

Primary practice location

137 Evergreen PL Ste 2D
East Orange, NJ 07018-2005

Mailing address

172 Evergreen Rd
Apt. 19B
Edison, NJ 08837-2445
Phone (973) 698-2364

Other practice location 1

172 Evergreen Rd
Apt. 19B
Edison, NJ 08837-2445
Phone (973) 698-2364

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
37LC00191700NJMDAddiction (Substance Use Disorder) Counselor
37PC00612200NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Recovery SVCS Current Accepting new patients
Airmid Counseling Services PastSince Dec 29, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1588038582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 EVERGREEN RD",
            "address_2": "APT. 19B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372445",
            "telephone_number": "973-698-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 EVERGREEN PL STE 2D",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182005",
            "telephone_number": "973-678-0550",
            "fax_number": "973-678-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 Evergreen Rd",
            "address_2": "Apt. 19B",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088372445",
            "country_code": "US",
            "telephone_number": "973-698-2364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAKA",
        "first_name": "NIYA",
        "name_prefix": "Dr.",
        "credential": "LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-15",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00191700",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00612200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.