Individual provider Active NPI

Eileen A Milsted, LPC, MA, LAC, ATR-BC

  • Counselor
  • Medford, NJ
National Provider Identifier
1669071205
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC01030100 Issued in NJ
Practice address
32 S Main St
Medford, NJ 08055-2455
Phone
(856) 617-4544
Fax
(844) 689-8881
NPI assigned
Oct 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC01030100 NJ Primary

Addresses

Primary practice location

32 S Main St
Medford, NJ 08055-2455

Mailing address

411 Reading Ave
Barrington, NJ 08007-1053
Phone (609) 230-6603

Other practice location 1

1401 Marlton Pike E Ste 27
Cherry Hill, NJ 08034-2207
Phone (856) 448-4989

Other names 1

  • Eileen Stamato Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815001055 NJ Practitioner - Mental Health Counselor 4688112196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Sep 1, 2024 Accepting new patients
Advocare , LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

Interoperability endpoints

  • Direct secure messaging: eileen.milsted@advocaredoctors.eclinicaldirectplus.com

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": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1669071205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 READING AVE",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071053",
            "telephone_number": "609-230-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552455",
            "telephone_number": "856-617-4544",
            "fax_number": "844-689-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Marlton Pike E Ste 27",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342207",
            "country_code": "US",
            "telephone_number": "856-448-4989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILSTED",
        "first_name": "EILEEN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPC, MA, LAC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC01030100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "STAMATO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.