Individual provider Active NPI

Paul Jay Spergel, LPC,LMHC

  • Mental Health Counselor
  • Budd Lake, NJ
National Provider Identifier
1821166190
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC02258 Issued in NJ
Practice address
1 Old Wolfe Rd
Suite 203
Budd Lake, NJ 07828-3213
Phone
(973) 527-7072
Fax
(973) 527-7073
NPI assigned
Dec 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PC02258 NJ Primary

Addresses

Primary practice location

1 Old Wolfe Rd
Suite 203
Budd Lake, NJ 07828-3213

Mailing address

1 Old Wolfe Rd
Suite 203
Budd Lake, NJ 07828-3213
Phone (973) 527-7072

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
PC02258NJMDMental Health Counselor

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": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821166190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD WOLFE RD",
            "address_2": "SUITE 203",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078283213",
            "telephone_number": "973-527-7072",
            "fax_number": "973-527-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLD WOLFE RD",
            "address_2": "SUITE 203",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078283213",
            "telephone_number": "973-527-7072",
            "fax_number": "973-527-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERGEL",
        "first_name": "PAUL",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "LPC,LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "PC02258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Budd Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.