Active NPI
Stephanie Evans, MS
- Mental Health Counselor
- Piscataway, NJ
National Provider Identifier
1619224334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 151 Centennial Ave
Piscataway, NJ 08854-3907 - Phone
- (732) 235-6183
- NPI assigned
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
151 Centennial Ave
Piscataway, NJ 08854-3907
Mailing address
671 Hoes LN W
Piscataway, NJ 08854-8021
Phone (732) 235-6183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4144007 | Medicaid | NJ |
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1619224334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 HOES LN W",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088548021",
"telephone_number": "732-235-6183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 CENTENNIAL AVE",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088543907",
"telephone_number": "732-235-6183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "STEPHANIE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4144007",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Piscataway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.