Individual provider Active NPI

Dean J Labollita, MSM, LCADC, CSW, CCS

  • Addiction (Substance Use Disorder) Counselor
  • Toms River, NJ
National Provider Identifier
1760729545
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00077700 Issued in NJ
Practice address
1466 Hooper Ave
Suite 1C
Toms River, NJ 08753-2892
Phone
(732) 814-1330
Fax
(732) 358-0829
NPI assigned
Jan 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SW04739900 NJ
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00077700 NJ Primary

Addresses

Primary practice location

1466 Hooper Ave
Suite 1C
Toms River, NJ 08753-2892

Mailing address

1466 Hooper Ave
Suite 1C
Toms River, NJ 08753-2892
Phone (732) 814-1330

Other practice location 1

245 Atlantic City Blvd
Beachwood, NJ 08722-2972
Phone (732) 814-1330

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

State licenses

LicenseStateTypeSpecialty
37LC00077700NJMDAddiction (Substance Use Disorder) Counselor
44SW04739900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Best Practices Bhom Clinical PastSince Mar 21, 2018 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1760729545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 HOOPER AVE",
            "address_2": "SUITE 1C",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532892",
            "telephone_number": "732-814-1330",
            "fax_number": "732-358-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 HOOPER AVE",
            "address_2": "SUITE 1C",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532892",
            "telephone_number": "732-814-1330",
            "fax_number": "732-358-0829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Atlantic City Blvd",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "NJ",
            "postal_code": "087222972",
            "country_code": "US",
            "telephone_number": "732-814-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABOLLITA",
        "first_name": "DEAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MSM, LCADC, CSW, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-13",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SW04739900",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00077700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.