Active NPI
Robin Rene Van Ness, CRC, LMHC
- Mental Health Counselor
- Maplewood, NJ
National Provider Identifier
1821154360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1821154360
- Practice address
- 122A Union Ave
Maplewood, NJ 07040-1422 - Phone
- (646) 391-0362
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001924 | NY | |
| Professional Counselor | 101YP2500X | 00013269 | NY | |
| Mental Health Counselor | 101YM0800X | 1821154360 | NY | Primary |
Addresses
Primary practice location
122A Union Ave
Maplewood, NJ 07040-1422
Mailing address
122A Union Ave
Maplewood, NJ 07040-1422
Phone (646) 391-0362
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 |
|---|---|---|---|
| 001924 | NY | MD | Mental Health Counselor |
| 1821154360 | NY | MD | Mental Health Counselor |
| 00013269 | NY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Only-Connect Psychological Services PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Brooklyn, NY
- NPI 1518681063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1821154360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122A UNION AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070401422",
"telephone_number": "646-391-0362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122A UNION AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070401422",
"telephone_number": "646-391-0362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN NESS",
"first_name": "ROBIN",
"middle_name": "RENE",
"name_prefix": "Ms.",
"credential": "CRC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "001924",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "00013269",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "1821154360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.