Carly Patterson, LPC, LPAT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00757700 Issued in NJ

Practice address

162 E Ridgewood Ave
Ridgewood, NJ 07450-3859

Phone

(201) 255-7925

NPI assigned

Mar 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hero Counseling Center

  • Clinical Social Worker
  • Ridgewood, NJ
  • NPI 1598398349
  NPD

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1740868504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 GRAND AVE",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561250",
            "telephone_number": "201-704-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503859",
            "telephone_number": "201-255-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Pehle Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saddle Brook",
            "state": "NJ",
            "postal_code": "076635835",
            "country_code": "US",
            "telephone_number": "201-212-5981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 N Maple Ave Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "074503261",
            "country_code": "US",
            "telephone_number": "201-212-5981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "CARLY",
        "credential": "LPC, LPAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00757700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hero-counseling.clientsecure.me",
            "affiliation": "Y",
            "endpointDescription": "client portal",
            "affiliationName": "Hero Counseling Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "47 E Ridgewood Ave",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.