Individual provider Active NPI

Mindy Elissa Hoffmann, LAC

  • Counselor
  • Bound Brook, NJ
National Provider Identifier
1780064675
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37AC00661400 Issued in NJ
Practice address
339 W 2ND St
Bound Brook, NJ 08805-1833
Phone
(732) 356-1082
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC00661400 NJ Primary

Addresses

Primary practice location

339 W 2ND St
Bound Brook, NJ 08805-1833

Mailing address

339 W 2ND St
Bound Brook, NJ 08805-1833
Phone (732) 356-1082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240821003866 NJ Practitioner - Marriage and Family Therapist 2769793488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

150 A W High St
Somerville, NJ 08876-1854
Phone (908) 725-7799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Somerset Hunterdon & Warren Counties CurrentSince Jun 2, 2024 Accepting new patients

Locations

150 W High St
Ste A
Somerville, NJ 08876
Phone (908) 725-7799

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1780064675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 W 2ND ST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051833",
            "telephone_number": "732-356-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W 2ND ST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051833",
            "telephone_number": "732-356-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "MINDY",
        "middle_name": "ELISSA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00661400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

Sources for this page

Verify at the official NPI Registry.