Individual provider Active NPI

Anitra Puntolillo, LPC

  • Professional Counselor
  • Freehold, NJ
National Provider Identifier
1730494436
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00406800 Issued in NJ
Practice address
35 Dutch Lane Rd
Freehold, NJ 07728-2211
Phone
(732) 577-0297
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00406800 NJ Primary

Addresses

Primary practice location

35 Dutch Lane Rd
Freehold, NJ 07728-2211

Mailing address

35 Dutch Lane Rd
Freehold, NJ 07728-2211
Phone (732) 577-0297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 16, 2025 through Aug 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00406800NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1730494436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DUTCH LANE RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282211",
            "telephone_number": "732-577-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DUTCH LANE RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282211",
            "telephone_number": "732-577-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNTOLILLO",
        "first_name": "ANITRA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00406800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.