Individual provider Active NPI

Paul David Follansbee, M DIV LCSW

  • Clinical Social Worker
  • Edison, NJ
National Provider Identifier
1689716110
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
295 Pierson Avenue
2ND Floor
Edison, NJ 08837-3118
Phone
(732) 494-8558
Fax
(732) 494-8969
NPI assigned
Feb 12, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 44SC00857600 NJ
Mental Health Counselor 101YM0800X 44SC00857600 NJ
Pastoral Counselor 101YP1600X 44SC00857600 NJ
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

295 Pierson Avenue
2ND Floor
Edison, NJ 08837-3118

Mailing address

203 Summit Street
Hightstown, NJ 08520-4222
Phone (609) 443-4028

Other identifiers 2

IdentifierTypeStateIssuer
183478OtherMHN
P3391943OtherOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00857600NJMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Behavioral Health Care PC Counselor Past Accepting new patients

Organizations & group practices 1

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689716110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SUMMIT STREET",
            "city": "HIGHTSTOWN",
            "state": "NJ",
            "postal_code": "085204222",
            "telephone_number": "609-443-4028",
            "fax_number": "609-443-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PIERSON AVENUE",
            "address_2": "2ND FLOOR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373118",
            "telephone_number": "732-494-8558",
            "fax_number": "732-494-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLLANSBEE",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M DIV LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SC00857600",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC00857600",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NJ",
            "license": "44SC00857600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "183478",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3391943",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.