Individual provider Active NPI

Judith Deren Ferlise, M.A. , LPC

  • Mental Health Counselor
  • Lawrenceville, NJ
National Provider Identifier
1699813121
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00072900 Issued in NJ
Practice address
183 Franklin Corner Rd
Lawrenceville, NJ 08648-2555
Phone
(609) 584-7719
Fax
(609) 584-7719
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

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 37PC00072900 NJ Primary

Addresses

Primary practice location

183 Franklin Corner Rd
Lawrenceville, NJ 08648-2555

Mailing address

31 Hobbs Rd
Trenton, NJ 08619-3641
Phone (609) 584-7719

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
I20240729004683 NJ Practitioner - Mental Health Counselor 8628515434 Practice locations: Lawrenceville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

133 Franklin Corner Rd
Suite 2
Lawrence TWP, NJ 08648-2531
Phone (609) 584-7719

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37PC00072900NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699813121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HOBBS RD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193641",
            "telephone_number": "609-584-7719",
            "fax_number": "609-584-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 FRANKLIN CORNER RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482555",
            "telephone_number": "609-584-7719",
            "fax_number": "609-584-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERLISE",
        "first_name": "JUDITH",
        "middle_name": "DEREN",
        "name_prefix": "Ms.",
        "credential": "M.A. , LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00072900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.