Andrea Nyerges, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00495200 Issued in NJ

Practice address

18 Sycamore Ave
Ho Ho Kus, NJ 07423-1582

Phone

(201) 308-3987

NPI assigned

Mar 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 24, 2024 through Apr 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mindfully Alive, LLC

  • Professional Counselor
  • Ho Ho Kus, NJ
  • NPI 1376162487
  NPD Authorized official

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1669898417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SYCAMORE AVE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231582",
            "telephone_number": "201-308-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SYCAMORE AVE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231582",
            "telephone_number": "201-308-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYERGES",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00495200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4138601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindfully Alive, LLC
• Jeffrey Thomas Mohn, DDS
• Kristen Morgado, MD
• Justin V Morris, D.D.S
• Christopher B Nicpon, MD
• Erika Oak, PSY.D
• Sujean Oh, DDS
• Olivia Ohngemach
• Ann Marie Olson I, SC.D., CCC-A
• Victoria Ozerskaya

• Professional Counselor in Ho Ho Kus, NJ
• Providers in Ho Ho Kus, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.