Organization Active NPI

Mary Bruce-Kulcsar LCSW

Doing business as Amber Counseling and Wellness LLC

  • Clinical Social Worker
  • Wall Township, NJ
National Provider Identifier
1689252090
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARY BRUCE-KULCSAR LCSW
Doing business as
Amber Counseling and Wellness LLC
Practice address
2609 Glendola Rd
Wall Township, NJ 07719-4509
Phone
(732) 604-7373
NPI assigned
Mar 30, 2021
Last updated
Mar 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Meghan Roe
Title
Credentialing Specialist
Phone
(617) 674-3499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2609 Glendola Rd
Wall Township, NJ 07719-4509

Mailing address

2609 Glendola Rd
Wall Township, NJ 07719-4509

Other names 1

  • Amber Counseling and Wellness LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1689252090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 GLENDOLA RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 GLENDOLA RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194509",
            "telephone_number": "732-604-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BRUCE-KULCSAR LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "617-674-3499"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amber Counseling and Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.