Individual provider Active NPI

Laverne E Austin, LCSW

  • Mental Health Counselor
  • Somerset, NJ
National Provider Identifier
1740333020
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC01382100 Issued in NJ
Practice address
1527 State Route 27 Ste 1600
Somerset, NJ 08873-3905
Phone
(732) 917-0600
NPI assigned
Jan 19, 2007
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 44SC01382100 NJ Primary

Addresses

Primary practice location

1527 State Route 27 Ste 1600
Somerset, NJ 08873-3905

Mailing address

86 Bayard St P. O. Box 691
New Brunswick, NJ 08903-0691
Phone (732) 917-0600

Other identifiers 1

IdentifierTypeStateIssuer
0043575MedicaidNJ

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
I20250311002742 NJ Practitioner - Clinical Social Worker 2062933690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Rutgers New Jersey Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shivshakti Psychiatry Care LLCGroup PAC ID 8325493315, 4 clinicians

Practice addresses (Care Compare)

1527 State Route 27
Suite 1600
Somerset, NJ 08873-3905
Phone (732) 712-3787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC01382100NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shivshakti Psychiatry Care LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

1527 State Route 27
Ste 1600
Somerset, NJ 08873
Phone (347) 740-4968

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1740333020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BAYARD ST P. O. BOX 691",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089030691",
            "telephone_number": "732-917-0600",
            "fax_number": "888-528-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 STATE ROUTE 27 STE 1600",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733905",
            "telephone_number": "732-917-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "LAVERNE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC01382100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0043575",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.