Individual provider Active NPI

Maria Afordakos, MED, LPC

  • Professional Counselor
  • Glassboro, NJ
National Provider Identifier
1790414688
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00839300 Issued in NJ
Practice address
409 N Main St
Glassboro, NJ 08028-1633
Phone
(856) 589-3420
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 37PC00839300 NJ Primary

Addresses

Primary practice location

409 N Main St
Glassboro, NJ 08028-1633

Mailing address

409 N Main St
Glassboro, NJ 08028-1633
Phone (856) 589-3420

Other identifiers 1

IdentifierTypeStateIssuer
37PC00839300OtherNJLICENSE

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
37PC00839300NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Artemis Center for Guidance Professional CurrentSince Jun 12, 2022 Accepting new patients
River and Rose Past Accepting new patients

Locations

409 N Main St
Glassboro, NJ 08028
Phone 8565893420 ext. 118

Organizations & group practices 2

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1790414688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281633",
            "telephone_number": "856-589-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281633",
            "telephone_number": "856-589-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFORDAKOS",
        "first_name": "MARIA",
        "credential": "MED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00839300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "37PC00839300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.