Individual provider Active NPI

Patrick Foran Jr., LCSW

  • Mental Health Counselor
  • Princeton, NJ
National Provider Identifier
1770153736
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC05815300 Issued in NJ
Practice address
44 Nassau St Ste 365
Princeton, NJ 08542-4511
Phone
(609) 436-0169
NPI assigned
Jun 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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 44SC05815300 NJ Primary

Addresses

Primary practice location

44 Nassau St Ste 365
Princeton, NJ 08542-4511

Mailing address

504 Hayfield CT
Doylestown, PA 18901-2287
Phone (267) 871-9298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250516000873 PA Order and Referring Only - PsychiatryPractitioner - Psychiatry 8224556915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05815300NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Place Counseling and Therapy Center Mental Health PastSince Jul 4, 2021 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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1770153736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 HAYFIELD CT",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012287",
            "telephone_number": "267-871-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 NASSAU ST STE 365",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085424511",
            "telephone_number": "609-436-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORAN",
        "first_name": "PATRICK",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05815300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.