Individual provider Active NPI

Andrea Stefens, RDT, LCAT

  • Poetry Therapist
  • Livingston, NJ
National Provider Identifier
1598200669
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Poetry TherapistTaxonomy code 102X00000X
License
001891 Issued in NY
Practice address
349 E Northfield Rd
Suite LL5
Livingston, NJ 07039-4802
Phone
(973) 251-2874
NPI assigned
Dec 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Poetry Therapist 102X00000X 001891 NY Primary

Addresses

Primary practice location

349 E Northfield Rd
Suite LL5
Livingston, NJ 07039-4802

Mailing address

349 E Northfield Rd
Suite LL5
Livingston, NJ 07039-4802
Phone (973) 251-2874

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
001891NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healing Center LLC1 PastSince Sep 15, 2024 Accepting new patients
Family Healing Center Inc Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1598200669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD",
            "address_2": "SUITE LL5",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394802",
            "telephone_number": "973-251-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD",
            "address_2": "SUITE LL5",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394802",
            "telephone_number": "973-251-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFENS",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "RDT, LCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102X00000X",
            "taxonomy_group": "",
            "desc": "Poetry Therapist",
            "state": "NY",
            "license": "001891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.