Nicole Desantis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00704700 Issued in NJ

Practice address

219 Taylors Mills Rd
Manalapan, NJ 07726-3255

Phone

(908) 415-2042

NPI assigned

Feb 28, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1821622846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 TAYLORS MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263255",
            "telephone_number": "908-415-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 TAYLORS MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263255",
            "telephone_number": "908-415-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00704700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "INFO@EXCEPTIONALWELLNESSCOUNSELING.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "219 Taylors Mills Rd",
            "city": "Manalapan",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077263255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vibha Desai-Weimer, MA CCC/SLP
• Aashish P Desai, M.D.
• Ankur Akhilesh Desai, M.D
• Kosha Bhupesh Desai
• Marilena Desantis, LSW
• Destination Wellness Center Inc.
• Developed Medical LLC
• Michelle Francesca Di Marco, LAC
• John B. Dibling, DDS
• Susan Anne Dimeglio, SLP

• Professional Counselor in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.