Individual provider Active NPI

Elizabeth R Greenberg, M.A.

  • Professional Counselor
  • Caldwell, NJ
National Provider Identifier
1609213180
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37C00531200 Issued in NJ
Practice address
14 Forest Ave
Caldwell, NJ 07006-5208
Phone
(973) 420-6931
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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 37C00531200 NJ Primary

Addresses

Primary practice location

14 Forest Ave
Caldwell, NJ 07006-5208

Mailing address

14 Forest Ave
Caldwell, NJ 07006-5208
Phone (973) 420-6931

Other practice location 1

311 Claremont Ave
Montclair, NJ 07042-2240
Phone (973) 600-5465 ext. 1

Other identifiers 1

IdentifierTypeStateIssuer
37PC00531200OtherNJBOARD OF MARRIAGE AND FAMILY THERAPY EXAMINERS, LICENSED PROFESSIONAL COUNSELOR

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
37C00531200NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Greenburg Counselor LLC Professional Current Accepting new patients

Locations

14 Forest Ave
Caldwell, NJ 07006
Phone (973) 307-0182

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1609213180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FOREST AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065208",
            "telephone_number": "973-420-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FOREST AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065208",
            "telephone_number": "973-420-6931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Claremont Ave",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070422240",
            "country_code": "US",
            "telephone_number": "973-600-5465 x1",
            "fax_number": "201-353-2514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37C00531200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF MARRIAGE AND FAMILY THERAPY EXAMINERS, LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "37PC00531200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.