Individual provider Active NPI

Nicole Tilton, LPC

  • Professional Counselor
  • Toms River, NJ
National Provider Identifier
1710335575
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00512100 Issued in NJ
Practice address
616 Washington St Ste 2a
Toms River, NJ 08753-6789
Phone
(609) 594-4900
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC00512100 NJ
Professional Counselor 101YP2500X 37PC00512100 NJ Primary

Addresses

Primary practice location

616 Washington St Ste 2a
Toms River, NJ 08753-6789

Mailing address

730 Herbertsville Rd
Brick, NJ 08724-1109
Phone (732) 378-9337

Other practice location 1

3121 Atlantic Ave
Allenwood, NJ 08720-7045
Phone (732) 378-9337

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
37PC00512100NJMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: nicole.tilton.1@28623.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1710335575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HERBERTSVILLE RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241109",
            "telephone_number": "732-378-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 WASHINGTON ST STE 2A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536789",
            "telephone_number": "609-594-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3121 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Allenwood",
            "state": "NJ",
            "postal_code": "087207045",
            "country_code": "US",
            "telephone_number": "732-378-9337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILTON",
        "first_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00512100",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00512100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.