Individual provider Active NPI

Marijayne Henry, LCSW

  • Mental Health Counselor
  • Princeton, NJ
National Provider Identifier
1679798052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC05232000 Issued in NJ
Practice address
741 Mount Lucas Rd
Princeton, NJ 08540-1911
Phone
(609) 688-3789
Fax
(609) 497-3324
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC05232000 NJ Primary

Addresses

Primary practice location

741 Mount Lucas Rd
Princeton, NJ 08540-1911

Mailing address

711 Nottinghill LN
Hamilton, NJ 08619-4009
Phone (856) 265-4630

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
I20140923000306 NJ Practitioner - Clinical Social Worker 3971722034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Aroga Medical Associates, PCGroup PAC ID 4789777822, 5 clinicians
Positive BeginningsGroup PAC ID 3678837358, 14 clinicians

Practice addresses (Care Compare)

11 Tamarack Cir
Skillman, NJ 08558-2019
Phone (609) 279-1339

2003 Lincoln Dr W
Suite B
Marlton, NJ 08053-1529
Phone (856) 886-8839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05232000NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aroga Medical Associates, PC CurrentSince Jul 25, 2014 Accepting new patients
Positive Beginnings CurrentSince Oct 10, 2021 Accepting new patients

Locations

2003 Lincoln Dr W
Ste B
Marlton, NJ 08053
Phone (856) 886-8839

11 Tamarack Cir
Skillman, NJ 08558
Phone (609) 279-1339

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679798052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 NOTTINGHILL LN",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086194009",
            "telephone_number": "856-265-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 MOUNT LUCAS RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401911",
            "telephone_number": "609-688-3789",
            "fax_number": "609-497-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MARIJAYNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05232000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.