Individual provider Active NPI

Laura A Guancione, MA, LPC, LCADC, ACS

  • Professional Counselor
  • Newton, NJ
National Provider Identifier
1669862389
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00433600 Issued in NJ
Practice address
18 Church Street
Newton, NJ 07860-0786
Phone
(973) 664-7154
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00433600 NJ
Professional Counselor 101YP2500X 37PC00433600 NJ Primary

Addresses

Primary practice location

18 Church Street
Newton, NJ 07860-0786

Mailing address

PO Box 136
Stanhope, NJ 07874
Phone (973) 664-7154

Other practice location 1

Stanhope
Stanhope, NJ 07874
Phone (973) 664-7154

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 Arts

State licenses

LicenseStateTypeSpecialty
37PC00433600NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1669862389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136",
            "city": "STANHOPE",
            "state": "NJ",
            "postal_code": "07874",
            "telephone_number": "973-664-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CHURCH STREET",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078600786",
            "telephone_number": "973-664-7154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Stanhope",
            "address_purpose": "LOCATION",
            "city": "Stanhope",
            "state": "NJ",
            "postal_code": "07874",
            "country_code": "US",
            "telephone_number": "973-664-7154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUANCIONE",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "MA, LPC, LCADC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00433600",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00433600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.