Individual provider Active NPI

Dana Marie Kostas, M.A., LAC

  • Mental Health Counselor
  • Turnersville, NJ
National Provider Identifier
1730304445
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00678500 Issued in NJ
Practice address
151 Fries Mill Rd Ste 301
Turnersville, NJ 08012-2016
Phone
(856) 589-3420
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 37PC00678500 NJ Primary

Addresses

Primary practice location

151 Fries Mill Rd Ste 301
Turnersville, NJ 08012-2016

Mailing address

151 Fries Mill Rd Ste 301
Turnersville, NJ 08012-2016
Phone (856) 589-3420

Other practice location 1

409 N Main St
Glassboro, NJ 08028-1633
Phone (856) 589-3420

Other practice location 2

342 Egg Harbor Rd Ste B
Sewell, NJ 08080-1856
Phone (856) 589-3420

Other identifiers 1

IdentifierTypeStateIssuer
37PC00678500OtherNJSTATE

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
I20240514003607 NJ Practitioner - Mental Health Counselor 1951742584 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Artemis Center for Guidance CurrentSince May 6, 2024 Accepting new patients

Locations

409 N Main St
Glassboro, NJ 08028
Phone 8565893420 ext. 118

342 Egg Harbor Rd
#B
Sewell, NJ 08080
Phone (856) 345-2820

151 Fries Mill Rd
Ste 301
Turnersville, NJ 08012
Phone (856) 374-1881

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1730304445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 FRIES MILL RD STE 301",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122016",
            "telephone_number": "856-589-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 FRIES MILL RD STE 301",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122016",
            "telephone_number": "856-589-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 N Main St",
            "address_purpose": "LOCATION",
            "city": "Glassboro",
            "state": "NJ",
            "postal_code": "080281633",
            "country_code": "US",
            "telephone_number": "856-589-3420",
            "fax_number": "856-345-2820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "342 Egg Harbor Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080801856",
            "country_code": "US",
            "telephone_number": "856-589-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTAS",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "M.A., LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00678500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "37PC00678500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

Verify at the official NPI Registry.