Tina Beatrice Bubb, MA, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00475900 Issued in NJ

Practice address

1139 E Jersey St Ste 417
Elizabeth, NJ 07201-2446

Phone

(908) 622-3200

Fax

(908) 622-3202

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1689217655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 MONTICELLO AVE APT 5",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073045524",
            "telephone_number": "212-470-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E JERSEY ST STE 417",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012446",
            "telephone_number": "908-622-3200",
            "fax_number": "908-622-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBB",
        "first_name": "TINA",
        "middle_name": "BEATRICE",
        "name_prefix": "Mrs.",
        "credential": "MA, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00475900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes Brophy, LSW
• Gloria Brown, RN
• Kevin D Brown, P.T.
• Dennis Bruder, OD
• Joseph A Bruno, PAC
• Joseph Buceta, MD
• Brenda Buchsbaum, MSED
• Nathan Budashewitz
• Blessing Bullard
• Sharice Burks, PERSONAL TRAINER

• Mental Health Counselor in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.