Megen Melissa Elliott, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00229100 Issued in NJ

Practice address

1500 Route 88
Brick, NJ 08724-2320

Phone

(732) 458-1700

Fax

(732) 785-9500

NPI assigned

Mar 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Preferred Behavioral Health of New Jersey, Inc.

  • Community/Behavioral Health Agency
  • Lakewood, NJ
  • NPI 1386701894
  Medicare reassignment NPD
• Preferred Behavioral Health of New Jersey, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Barnegat, NJ
  • NPI 1720773526
  NPD
• Preferred Behavioral Health of New Jersey, Inc.

  • Community/Behavioral Health Agency
  • Lakewood, NJ
  • NPI 1457418717
  NPD

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663459200000",
    "number": "1720449069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242320",
            "telephone_number": "732-785-1900",
            "fax_number": "732-785-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242320",
            "telephone_number": "732-458-1700",
            "fax_number": "732-785-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "573 Midwood Dr",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087244739",
            "country_code": "US",
            "telephone_number": "732-908-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "MEGEN",
        "middle_name": "MELISSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00229100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lynn Elia, DMD
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• Elizabeth L Barton, MSW, LCSW, LLC
• Stephen J. Ellis, M.D.
• Elmhurst Operator LLC
• Nashwa Emara
• Emdazz Health Services
• Emdazz Health Services

• Mental Health Counselor in Brick, NJ
• Providers in Brick, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.