Active NPI
Linda Bogan, MS, LCADC
- Counselor
- Brick, NJ
National Provider Identifier
1659612950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 204 Midstreams PL
Brick, NJ 08724-3727 - Phone
- (732) 948-6406
- NPI assigned
- Mar 12, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00321500 | NJ | |
| Counselor | 101Y00000X | NJ | Primary |
Addresses
Primary practice location
204 Midstreams PL
Brick, NJ 08724-3727
Mailing address
204 Midstreams PL
Brick, NJ 08724-3727
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Brick | Health Information Exchange (HIE) | |
| Other URL | Brick | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
81 Crooked Stick Rd
Jackson, NJ 08527-4032
Phone (609) 916-6402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Change My World Addiction Counseling | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Best Practices Bhom | Current | Accepting new patients | |
| Birches Health Medical Group of New Jersey PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Jackson, NJ
- NPI 1477070761
-
- Addiction (Substance Use Disorder) Counselor
- Brick, NJ
- NPI 1225912975
-
- Mental Health Counselor
- Toms River, NJ
- NPI 1255181905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1659612950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 MIDSTREAMS PL",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 MIDSTREAMS PL",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243727",
"telephone_number": "732-948-6406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGAN",
"first_name": "LINDA",
"credential": "MS, LCADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-12",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00321500",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Brick",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "204 Midstreams Pl",
"city": "Brick",
"state": "NJ",
"country_code": "US",
"postal_code": "087243727",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Brick",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "204 Midstreams Pl",
"city": "Brick",
"state": "NJ",
"country_code": "US",
"postal_code": "087243727",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.