Individual provider Active NPI

John Badenhausen, MA

  • Mental Health Counselor
  • Brick, NJ
National Provider Identifier
1679627509
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00447500 Issued in NJ
Practice address
503 Brick Blvd Ste 108
Brick, NJ 08723-6097
Phone
(978) 407-2839
NPI assigned
Jan 22, 2007
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00447500 NJ Primary

Addresses

Primary practice location

503 Brick Blvd Ste 108
Brick, NJ 08723-6097

Mailing address

503 Brick Blvd Ste 108
Brick, NJ 08723-6097
Phone (978) 407-2839

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
I20250212001637 NJ Practitioner - Mental Health Counselor 1355871948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Care Concepts and Consultation, LLCGroup PAC ID 6709303357, 12 clinicians

Practice addresses (Care Compare)

503 Brick Blvd
Suite 108
Brick, NJ 08723-6097
Phone (978) 407-2839

615 Hope Rd
Suite 5B
Eatontown, NJ 07724-1273
Phone (732) 389-0697

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37PC00447500NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Care Concepts & Consultation, LLC CurrentSince May 8, 2025 Accepting new patients
Jersey Shore Therapies CurrentSince Dec 9, 2024 Accepting new patients

Locations

503 Brick Blvd
Ste 108
Brick, NJ 08723
Phone (978) 407-2839

615 Hope Rd
Tinton Falls, NJ 07724
Phone (732) 389-0697

615 Hope Rd
Ste 5B
Tinton Falls, NJ 07724
Phone (732) 389-0697

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1679627509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 BRICK BLVD STE 108",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236097",
            "telephone_number": "978-407-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 BRICK BLVD STE 108",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236097",
            "telephone_number": "978-407-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADENHAUSEN",
        "first_name": "JOHN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00447500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.