Individual provider Active NPI

Toni Williams Haverty

  • Mental Health Counselor
  • Hackensack, NJ
National Provider Identifier
1750994794
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC06268300 Issued in NJ
Practice address
283 Berry St
Hackensack, NJ 07601-2707
Phone
(201) 820-2532
NPI assigned
Aug 28, 2020
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 44SC06268300 NJ Primary

Addresses

Primary practice location

283 Berry St
Hackensack, NJ 07601-2707

Mailing address

283 Berry St
Hackensack, NJ 07601-2707
Phone (201) 820-2532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250903004493 NJ Practitioner - Clinical Social Worker 0042528788 Reassigns benefits to 1 organization
I20260128000830 NY Practitioner - Clinical Social Worker 0042528788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1648 Amsterdam Ave
Unit 63
New York, NY 10031-6152

1648 Amsterdam Ave
Unit 63
New York, NY 10031-6154

283 Berry St
Hackensack, NJ 07601-2707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06268300NJMDMental Health Counselor
095153NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Forward Counseling Services LCSW PLLC Mental Health CurrentSince Feb 27, 2024 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, 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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1750994794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 BERRY ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012707",
            "telephone_number": "201-820-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 BERRY ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012707",
            "telephone_number": "201-820-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS HAVERTY",
        "first_name": "TONI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC06268300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.