Individual provider Active NPI

Michelle Lynn Juska

  • Mental Health Counselor
  • Toms River, NJ
National Provider Identifier
1801425020
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00367300 Issued in NJ
Practice address
36 W Water St
Toms River, NJ 08753-7414
Phone
(732) 349-1977
NPI assigned
Apr 8, 2020
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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 37AC00367300 NJ Primary

Addresses

Primary practice location

36 W Water St
Toms River, NJ 08753-7414

Mailing address

509 Buttonwood Dr
Lanoka Harbor, NJ 08734-2811
Phone (609) 384-6713

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
I20240215000515 NJ Practitioner - Mental Health Counselor 0345698445 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00367300NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Mental Health Services Inc CurrentSince Jan 9, 2024 Accepting new patients

Locations

160 US Highway 9
Bayville, NJ 08721
Phone (732) 349-1977

687 Route 9
Bayville, NJ 08721
Phone (732) 269-4849

40 Bey Lea Rd
Bldg A
Toms River, NJ 08753
Phone (732) 240-3760

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1801425020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 BUTTONWOOD DR",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087342811",
            "telephone_number": "609-384-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537414",
            "telephone_number": "732-349-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSKA",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00367300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.