Eva A Stark, M.S., LPC, PSYA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC00690 Issued in NJ

Practice address

71 Grand Ave Ste 2
Englewood, NJ 07631-3532

Phone

(201) 410-0291

NPI assigned

May 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1750515151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 GRAND AVE STE 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313532",
            "telephone_number": "201-410-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 GRAND AVE STE 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313532",
            "telephone_number": "201-410-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "EVA",
        "middle_name": "A",
        "credential": "M.S., LPC, PSYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "LPC00690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette S. Sta Maria, CRNA
• Lisa Stacey
• Berry Stahl, DMD
• Rosalyn E. Stahl, MD
• Marcia Stamberg, LCSW
• Julia Starobin, DPT
• Neil S Stearns, DMD
• Stefanie S. Vaimakis MD LLC
• Michael Vladimir Stefanovich, M.D.
• Alfred A Steinberger, M.D.

• Professional Counselor in Englewood, NJ
• Providers in Englewood, 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 Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.