Individual provider Active NPI

Colleen Lawrence, LPC, LCADC

  • Professional Counselor
  • Toms River, NJ
National Provider Identifier
1740844646
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00666400 Issued in NJ
Practice address
1191 Lakewood Rd
Toms River, NJ 08753-4172
Phone
(732) 703-4127
NPI assigned
Apr 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00213700 NJ
Professional Counselor 101YP2500X 37PC00666400 NJ Primary

Addresses

Primary practice location

1191 Lakewood Rd
Toms River, NJ 08753-4172

Mailing address

PO Box 2036
Lakewood, NJ 08701-8036
Phone (732) 703-4127

Other identifiers 1

IdentifierTypeStateIssuer
0029807MedicaidNJ

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
I20240318000143 NJ Practitioner - Mental Health Counselor 1557707437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Behavioral Health of New Jersey IncGroup PAC ID 3971414533, 36 clinicians

Practice addresses (Care Compare)

1191 Lakewood Rd
Toms River, NJ 08753-4172
Phone (732) 323-3664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00213700NJMDAddiction (Substance Use Disorder) Counselor
37PC00666400NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Behavioral Health of New Jersey, Inc CurrentSince Mar 5, 2024 Accepting new patients
Preferred Behavioral Health of New Jersey CurrentSince Mar 5, 2024 Accepting new patients
Preferred Behavioral Health of New Jersey, Inc. Current Accepting new patients

Locations

700 Airport Rd
Lakewood, NJ 08701
Phone (732) 458-1700

Organizations & group practices 3

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1740844646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2036",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087018036",
            "telephone_number": "732-703-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 LAKEWOOD RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534172",
            "telephone_number": "732-703-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "COLLEEN",
        "credential": "LPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00213700",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00666400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.