Individual provider Active NPI

Timothy Lowe, LPC

  • Mental Health Counselor
  • Roselle Park, NJ
National Provider Identifier
1750981197
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00715600 Issued in NJ
Practice address
240 E Westfield Ave Apt C18
Roselle Park, NJ 07204-2326
Phone
(732) 857-0399
NPI assigned
Oct 26, 2020
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 37PC00715600 NJ Primary

Addresses

Primary practice location

240 E Westfield Ave Apt C18
Roselle Park, NJ 07204-2326

Mailing address

240 E Westfield Ave Apt C18
Roselle Park, NJ 07204-2326
Phone (732) 857-0399

Other names 1

  • Timothy Lowe Professional name

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
I20240223001634 NJ Practitioner - Marriage and Family Therapist 0547604035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stacey Nicholas LLCGroup PAC ID 9931503406, 9 clinicians

Practice addresses (Care Compare)

285 E Main St
Somerville, NJ 08876-3005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00715600NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stacey Nicholas LLC CurrentSince Jan 3, 2024 Accepting new patients

Locations

285 E Main St
Somerville, NJ 08876
Phone (908) 295-2007

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1750981197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E WESTFIELD AVE APT C18",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042326",
            "telephone_number": "732-857-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E WESTFIELD AVE APT C18",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042326",
            "telephone_number": "732-857-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "TIMOTHY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00715600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "LOWE",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roselle Park, NJ

Sources for this page

Verify at the official NPI Registry.