Individual provider Active NPI

Bridgett Vina, M.S., LAC

  • Counselor
  • Manalapan, NJ
National Provider Identifier
1699476598
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37AC00650500 Issued in NJ
Practice address
219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone
(732) 737-8620
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC00650500 NJ Primary

Addresses

Primary practice location

219 Taylors Mills Rd
Manalapan, NJ 07726-3255

Mailing address

219 Taylors Mills Rd
Manalapan, NJ 07726-3255

Other practice location 1

179 Avenue At The Cmn Ste 204
Shrewsbury, NJ 07702-4804
Phone (908) 415-2042

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
I20250325001962 NJ Practitioner - Mental Health Counselor 9830612498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exceptional Wellness Counseling, Inc.Group PAC ID 2668892449, 27 clinicians

Practice addresses (Care Compare)

219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone (908) 415-2042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
37AC00650500NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Wellness Counseling, Inc. CurrentSince Mar 20, 2025 Accepting new patients

Locations

219 Taylors Mills Rd
Manalapan, NJ 07726
Phone (732) 780-7650

179 Avenue At the Cmn
Ste 204
Shrewsbury, NJ 07702
Phone (908) 415-2042

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1699476598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 TAYLORS MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 TAYLORS MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263255",
            "telephone_number": "732-737-8620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "179 Avenue At The Cmn Ste 204",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "NJ",
            "postal_code": "077024804",
            "country_code": "US",
            "telephone_number": "908-415-2042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINA",
        "first_name": "BRIDGETT",
        "credential": "M.S., LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00650500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.