Active NPI
Mary Kathleen Owens, LCSW
- Mental Health Counselor
- Upper Saddle River, NJ
National Provider Identifier
1740346162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SC004510
- Practice address
- 24 Hillside Ave
Upper Saddle River, NJ 07458-1109 - Phone
- (201) 995-0880
- Fax
- (201) 825-8662
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SC004510 | NJ | Primary |
Addresses
Primary practice location
24 Hillside Ave
Upper Saddle River, NJ 07458-1109
Mailing address
24 Hillside Ave
Upper Saddle River, NJ 07458-1109
Phone (201) 995-0880
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550010003904 WEB ID | Other | NJ | PACIFICARE PROVIDER |
| 0007681212 | Other | NJ | AETNA PROVIDER |
| 161266 | Other | NJ | VALUE OPTIONS |
| 2043859 | Other | NJ | CIGNA PROVIDER |
| P2203949 | Other | NJ | OXFORD PROVIDER |
| 215657 | Other | NJ | MHN PROVIDER |
| 209117 | Other | NJ | COMPSYCH PROVIDER |
| 2318951000 | Other | NJ | AMERIHEALTH PROVIDER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC004510 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firstchoice OBGYN Group, LLC | Past | Accepting new patients |
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.
-
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- Clifton, NJ
- NPI 1184663577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740346162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 HILLSIDE AVE",
"city": "UPPER SADDLE RIVER",
"state": "NJ",
"postal_code": "074581109",
"telephone_number": "201-995-0880",
"fax_number": "201-825-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 HILLSIDE AVE",
"city": "UPPER SADDLE RIVER",
"state": "NJ",
"postal_code": "074581109",
"telephone_number": "201-995-0880",
"fax_number": "201-825-8662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "SC004510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE PROVIDER",
"identifier": "550010003904 WEB ID",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER",
"identifier": "0007681212",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "161266",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER",
"identifier": "2043859",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER",
"identifier": "P2203949",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PROVIDER",
"identifier": "215657",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH PROVIDER",
"identifier": "209117",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PROVIDER",
"identifier": "2318951000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Upper Saddle River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.