Active NPI
Courtney Marie Loder, M.S., LPC
- Mental Health Counselor
- Waldwick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 85 Hopper Ave
Waldwick, NJ 07463-1517 - Phone
- (201) 870-1735
- NPI assigned
- Jun 18, 2013
- Last updated
- May 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
85 Hopper Ave
Waldwick, NJ 07463-1517
Mailing address
85 Hopper Ave
Waldwick, NJ 07463-1517
Phone (201) 870-1735
Other practice location 1
522 S Broad St Ste 5
Glen Rock, NJ 07452-1325
Phone (012) 870-1735
Other practice location 2
375 Main St. Suite 201
Hackensack, NJ 07601
Phone (201) 870-1735
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affect Counseling Group, LLC | Current | Accepting new patients |
Locations
522 S Broad St
Ste 5
Glen Rock, NJ 07452
Phone (201) 614-3560
375 Main St
Ste 201
Hackensack, NJ 07601
Phone (201) 749-2009
85 Hopper Ave
Waldwick, NJ 07463
Phone (201) 334-0335
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.
-
- Community/Behavioral Health Agency
- Waldwick, NJ
- NPI 1609466945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1710326285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 HOPPER AVE",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631517",
"telephone_number": "201-870-1735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 HOPPER AVE",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631517",
"telephone_number": "201-870-1735"
}
],
"practiceLocations": [
{
"address_1": "522 S Broad St Ste 5",
"address_purpose": "LOCATION",
"city": "Glen Rock",
"state": "NJ",
"postal_code": "074521325",
"country_code": "US",
"telephone_number": "012-870-1735",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "375 Main St. Suite 201",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "07601",
"country_code": "US",
"telephone_number": "201-870-1735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LODER",
"first_name": "COURTNEY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.S., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldwick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.