Kristina Woung Fallon, MA, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00817000 Issued in NJ

Practice address

1124 US Highway 202 Ste B10
Raritan, NJ 08869-1463

Phone

(908) 977-1650

NPI assigned

Jan 20, 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

Other names 1

• Kristina Woung-Fallon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• A New Way Counseling and Psychotherapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raritan, NJ
  • NPI 1730713421
  NPD

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1831841873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DELANEY CT",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088075568",
            "telephone_number": "908-256-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 US HIGHWAY 202 STE B10",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691463",
            "telephone_number": "908-977-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "KRISTINA",
        "middle_name": "WOUNG",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00817000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "WOUNG-FALLON",
            "credential": "MA, LPC, NCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wendy K Dwyer
• Vincent J. Eletto, MD
• Christina Entrup, APRN
• Abigail Ettinger, D.O.
• Extended Optimum Medical Services LLC
• Robyn Ferrante, M.D.
• Rilwan Folorunso, MSN, CRNP, PMHNP-BC
• Summer R Forte, LSW
• Susan Eileen Foster, OTR
• Katie Ann Freyberger, PT, DPT, LAT, ATC

• Professional Counselor in Raritan, NJ
• Providers in Raritan, 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 Jan 20, 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.

Verify at the official NPI Registry.