Individual provider Active NPI

Lauren M Prisco, LPC

  • Counselor
  • Brick, NJ
National Provider Identifier
1790333524
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC00687900 Issued in NJ
Practice address
35 Beaverson Blvd Ste 11
Brick, NJ 08723-7869
Phone
(866) 955-7866
Fax
(030) 573-2761
NPI assigned
Aug 26, 2019
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC00687900 NJ Primary

Addresses

Primary practice location

35 Beaverson Blvd Ste 11
Brick, NJ 08723-7869

Mailing address

664 Spiral Dr
Brick, NJ 08724-2754
Phone (848) 333-8422

Other practice location 1

504 Aldrich Rd Ste 2B
Howell, NJ 07731-1980
Phone (732) 497-8895

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
I20260610000720 NJ Practitioner - Mental Health Counselor 3577034511 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10845 Griffith Peak Dr
Suite 2
Las Vegas, NV 89135-1555

6 Rocky Mountain Blvd
Brick, NJ 08724-2578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00687900NJMDCounselor

Organizations & group practices 4

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1790333524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 SPIRAL DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242754",
            "telephone_number": "848-333-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD STE 11",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237869",
            "telephone_number": "866-955-7866",
            "fax_number": "030-573-2761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Aldrich Rd Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "NJ",
            "postal_code": "077311980",
            "country_code": "US",
            "telephone_number": "732-497-8895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRISCO",
        "first_name": "LAUREN",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00687900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.