Ivy Horan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05679300 Issued in NJ

Practice address

135 Wagner St
Edison, NJ 08837-2824

Phone

(908) 494-9871

NPI assigned

Jan 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jewel of Life Counseling, LLC

  • Clinical Social Worker
  • Scotch Plains, NJ
  • NPI 1811602550
  Medicare reassignment NPD Authorized official
• CPC Integrated Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Red Bank, NJ
  • NPI 1366497356
  Medicare reassignment NPD
• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment NPD
• CPC Behavioral Healthcare, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Matawan, NJ
  • NPI 1912036120
  NPD

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1629609649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 HOES LN W",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545627",
            "telephone_number": "732-235-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WAGNER ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372824",
            "telephone_number": "908-494-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "IVY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05679300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Labs Services LLC
• Beverly J. Hon, M.D.
• Nossratollah Hooshangi, MD
• Hope Medical Supplies
• Dennis Hopkins Jr., D.D.S.
• Tova Horowitz, M.S.
• Katalin Horvath, M.D.
• Hospitalist Physicians of New Jersey PA
• Pamela Sigeti Houghton, LCSW
• Patricia Howard, RN, RNFA

• Clinical Social Worker in Edison, NJ
• Providers in Edison, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.