Active NPI
Nancy Antolick, M.A.
- Professional Counselor
- Toms River, NJ
National Provider Identifier
1679770259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC00629
- Practice address
- 554 Commons Way
Building E
Toms River, NJ 08755-6432 - Phone
- (732) 255-8607
- Fax
- (732) 255-8607
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC00629 | NJ | Primary |
Addresses
Primary practice location
554 Commons Way
Building E
Toms River, NJ 08755-6432
Mailing address
21 Hollybrook Dr
Toms River, NJ 08753-2616
Phone (732) 255-8607
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240522000954 | NJ | Practitioner - Mental Health Counselor | 6709949415 | Practice locations: Toms River, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
509 Main St
BLDG C
Toms River, NJ 08753-7402
Phone (732) 255-8607
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC00629 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679770259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HOLLYBROOK DR",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087532616",
"telephone_number": "732-255-8607",
"fax_number": "732-255-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 COMMONS WAY",
"address_2": "BUILDING E",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087556432",
"telephone_number": "732-255-8607",
"fax_number": "732-255-8607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTOLICK",
"first_name": "NANCY",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "PC00629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.