Individual provider Active NPI

Christine Bozicevic, LAC

  • Counselor
  • Trenton, NJ
National Provider Identifier
1609435247
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
132 Perry St
Trenton, NJ 08618-3968
Phone
(609) 394-8988
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NJ Primary

Addresses

Primary practice location

132 Perry St
Trenton, NJ 08618-3968

Mailing address

9 Sprucewood Dr
Brick, NJ 08723-3372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, NJ, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260504005522 RI Practitioner - Mental Health Counselor 6800364316 Reassigns benefits to 1 organization
I20260506000897 NJ Practitioner - Mental Health Counselor 6800364316 Reassigns benefits to 1 organization
I20260511001718 DC Practitioner - Mental Health Counselor 6800364316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1609435247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SPRUCEWOOD DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087233372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 PERRY ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086183968",
            "telephone_number": "609-394-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZICEVIC",
        "first_name": "CHRISTINE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.