Active NPI
Lyndon Stafford Gunning, B.A. CADC
- Addiction (Substance Use Disorder) Counselor
- Clark, NJ
National Provider Identifier
1760115810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37CA00124300
- Practice address
- 60 Walnut Ave Ste 200
Clark, NJ 07066-1647 - Phone
- (732) 882-1920
- NPI assigned
- Jul 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37CA00124300 | NJ | Primary |
Addresses
Primary practice location
60 Walnut Ave Ste 200
Clark, NJ 07066-1647
Mailing address
60 Walnut Ave Ste 200
Clark, NJ 07066-1647
Phone (732) 882-1920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37CA00124300 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1760115810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 WALNUT AVE STE 200",
"city": "CLARK",
"state": "NJ",
"postal_code": "070661647",
"telephone_number": "732-882-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 WALNUT AVE STE 200",
"city": "CLARK",
"state": "NJ",
"postal_code": "070661647",
"telephone_number": "732-882-1920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNING",
"first_name": "LYNDON",
"middle_name": "STAFFORD",
"name_prefix": "Mr.",
"credential": "B.A. CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-06",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37CA00124300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clark, NJ
- Great Joy Community Development Corporation
- Great Joy Counseling and Consulting Services LLC
- Arthur T Grutt, D.M.D
- Shravani Guliani, PT, DPT
- Thomas Joseph Gulino, DMD
- Amit Gupta, R.PH
- Gut First Nutrition Inc.
- Yerelyn Gutierrez, FNP-BC
- Daniel Gutkind, R.PH
- Hackensack Meridian Outpatient Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.