Individual provider Active NPI

Carolyn H. Ottogalli, LPC

  • Professional Counselor
  • Hamburg, NJ
National Provider Identifier
1780909283
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC000404400 Issued in NJ
Practice address
225 RT. 23 N.
Suite 2E
Hamburg, NJ 07419
Phone
(973) 919-6712
Fax
(973) 875-2805
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC000404400 NJ Primary

Addresses

Primary practice location

225 RT. 23 N.
Suite 2E
Hamburg, NJ 07419

Mailing address

207 Overlook Dr
Sussex, NJ 07461-4427
Phone (973) 919-6712

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
37PC000404400NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1780909283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 OVERLOOK DR",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074614427",
            "telephone_number": "973-919-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 RT. 23 N.",
            "address_2": "SUITE 2E",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "07419",
            "telephone_number": "973-919-6712",
            "fax_number": "973-875-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTOGALLI",
        "first_name": "CAROLYN",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC000404400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.