Active NPI
Melissa Catherine Mitchell
- Professional Counselor
- Township of Washington, NJ
National Provider Identifier
1801507876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37AC00315900
- Practice address
- 701 Ridgewood Rd
Township of Washington, NJ 07676-4811 - Phone
- (551) 588-0689
- NPI assigned
- Dec 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37AC00315900 | NJ | Primary |
Addresses
Primary practice location
701 Ridgewood Rd
Township of Washington, NJ 07676-4811
Mailing address
610 Valley Health PLZ
Paramus, NJ 07652-3607
Phone (201) 986-5044
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00315900 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1801507876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 VALLEY HEALTH PLZ",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523607",
"telephone_number": "201-986-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 RIDGEWOOD RD",
"city": "TOWNSHIP OF WASHINGTON",
"state": "NJ",
"postal_code": "076764811",
"telephone_number": "551-588-0689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "MELISSA",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37AC00315900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Township of Washington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.