Individual provider Active NPI

Maggie Kollmar

  • Mental Health Counselor
  • Princeton, NJ
National Provider Identifier
1831995430
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00854700 Issued in NJ
Practice address
5 Vaughn Drive, Suite 108
Princeton, NJ 08540-0854
Phone
(732) 393-8391
Fax
(732) 561-1721
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 37AC00854700 NJ Primary

Addresses

Primary practice location

5 Vaughn Drive, Suite 108
Princeton, NJ 08540-0854

Mailing address

2 Paragon Way, Suite 800
Freehold, NJ 07728
Phone (732) 393-8391

Other practice location 1

2 Paragon Way, Suite 800
Freehold, NJ 07728
Phone (732) 393-8391

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.treeoflifecc.org

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
37AC00854700NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Counseling Center, LLC Mental Health CurrentSince Mar 11, 2025 Accepting new patients

Locations

2 Paragon Way
Ste 800
Freehold, NJ 07728
Phone (732) 393-8391

5 Vaughn Dr
Ste 108
Princeton, NJ 08540
Phone (732) 393-8391

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.

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1831995430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARAGON WAY, SUITE 800",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-393-8391",
            "fax_number": "732-561-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 VAUGHN DRIVE, SUITE 108",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085400854",
            "telephone_number": "732-393-8391",
            "fax_number": "732-561-1721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Paragon Way, Suite 800",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "07728",
            "country_code": "US",
            "telephone_number": "732-393-8391",
            "fax_number": "732-561-1721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLLMAR",
        "first_name": "MAGGIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00854700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.treeoflifecc.org",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "2 Paragon Way, Suite 800",
            "city": "Freehold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.