Individual provider Active NPI

Danielle Costanzo

  • Mental Health Counselor
  • Princeton, NJ
National Provider Identifier
1790666543
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00852400 Issued in NJ
Practice address
353 Nassau St
Princeton, NJ 08540-4623
Phone
(609) 924-0060
NPI assigned
Sep 9, 2025
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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 37AC00852400 NJ Primary

Addresses

Primary practice location

353 Nassau St
Princeton, NJ 08540-4623

Mailing address

353 Nassau St
Princeton, NJ 08540-4623
Phone (609) 924-0060

Other practice location 1

106 Straube Center Blvd
Pennington, NJ 08534-1449
Phone (609) 316-7172

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
37AC00852400NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center at 353 CurrentSince Sep 14, 2025 Accepting new patients

Locations

353 Nassau St
Princeton, NJ 08540
Phone (609) 924-0060

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, 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": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1790666543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NASSAU ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085404623",
            "telephone_number": "609-924-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NASSAU ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085404623",
            "telephone_number": "609-924-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Straube Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085341449",
            "country_code": "US",
            "telephone_number": "609-316-7172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTANZO",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00852400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.