Individual provider Active NPI

Joanne Cathleen Shields, LPC

  • Counselor
  • Pompton Lakes, NJ
National Provider Identifier
1760604326
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC 00287200 Issued in NJ
Practice address
17 Pompton Ave
Pompton Lakes, NJ 07442
Phone
(973) 835-6337
NPI assigned
May 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC 00287200 NJ Primary

Addresses

Primary practice location

17 Pompton Ave
Pompton Lakes, NJ 07442

Mailing address

70 Valley View Drive
Rockaway, NJ 07866
Phone (973) 784-3678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • 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
I20240620000208 NJ Practitioner - Mental Health Counselor 3476096355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Counseling Center IncGroup PAC ID 6507904828, 3 clinicians

Practice addresses (Care Compare)

16 Pompton Ave
Pompton Lakes, NJ 07442-1895
Phone (973) 835-6337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC 00287200NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling Center Inc. CurrentSince Apr 11, 2024 Accepting new patients

Locations

16 Pompton Ave
Pompton Lakes, NJ 07442
Phone (973) 831-6866

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760604326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 VALLEY VIEW DRIVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "07866",
            "telephone_number": "973-784-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 POMPTON AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "07442",
            "telephone_number": "973-835-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JOANNE",
        "middle_name": "CATHLEEN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC 00287200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

Verify at the official NPI Registry.