Irlande Stavien, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37AC00635800 Issued in NJ

Practice address

56 Congressional Pkwy
Livingston, NJ 07039-2133

Phone

(732) 672-9051

NPI assigned

Nov 7, 2022

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

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

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keith Golin PHD LLCGroup PAC ID 6608879226, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Keith Golin PHD LLC

  • Clinical Psychologist
  • West Orange, NJ
  • NPI 1487660213
  Medicare reassignment Care Compare group NPD
• Keith Golin PHD LLC

  • Clinical Psychologist
  • Livingston, NJ
  • NPI 1548561053
  NPD
• Legacy Counseling LLC

  • Clinical Social Worker
  • Whitehouse Station, NJ
  • NPI 1649121310
  NPD (past)

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1831807197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HIGH ST STE 9",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601062",
            "telephone_number": "732-672-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CONGRESSIONAL PKWY",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392133",
            "telephone_number": "732-672-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVIEN",
        "first_name": "IRLANDE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37AC00635800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSP Home Healthcare LLC
• St. Barnabas Medical Center
• Maria Camila Starace
• Christina M Starker, CRNA
• Barbara S Starr, ED.D.
• Christen Gabriella Stefanelli, OTD, OTR/L
• Andrea Stefens, RDT, LCAT
• Rani Steinberg, MSW, LCSW
• Lorraine Ann Stephenson, DNP, ANP-BC, PMHNP
• Patricia Stern

• Professional Counselor in Livingston, NJ
• Providers in Livingston, 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 Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.