Individual provider Active NPI

Brittny Perna, LSW

  • Mental Health Counselor
  • Rockaway, NJ
National Provider Identifier
1700534740
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SL06449200 Issued in NJ
Practice address
20 Vanderhoof Ave
Rockaway, NJ 07866-3148
Phone
(973) 586-5243
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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 44SL06449200 NJ Primary

Addresses

Primary practice location

20 Vanderhoof Ave
Rockaway, NJ 07866-3148

Mailing address

26 Borman Dr
Wanaque, NJ 07465-1051
Phone (862) 221-5706

Other identifiers 1

IdentifierTypeStateIssuer
44SL06449200MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Rockaway

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06449200NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1700534740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BORMAN DR",
            "city": "WANAQUE",
            "state": "NJ",
            "postal_code": "074651051",
            "telephone_number": "862-221-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VANDERHOOF AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663148",
            "telephone_number": "973-586-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNA",
        "first_name": "BRITTNY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL06449200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44SL06449200",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rockaway",
            "affiliation": "N",
            "address_1": "20 Vanderhoof Ave",
            "city": "Rockaway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078663148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.