Individual provider Active NPI

Aisha Anwar, LPC, NCC, MA

  • Mental Health Counselor
  • Monmouth Junction, NJ
National Provider Identifier
1851913776
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00719300 Issued in NJ
Practice address
52 Essex Dr
Monmouth Junction, NJ 08852-2503
Phone
(732) 456-1238
NPI assigned
May 13, 2020
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 37PC00719300 NJ Primary

Addresses

Primary practice location

52 Essex Dr
Monmouth Junction, NJ 08852-2503

Mailing address

52 Essex Dr
Monmouth Junction, NJ 08852-2503
Phone (732) 456-1238

Other practice location 1

2512 Gianna Dr
Glassboro, NJ 08028-3464
Phone (732) 456-1238

Other identifiers 2

IdentifierTypeStateIssuer
1851913776OtherNJALL BUT MEDICARE
1851913776OtherNJ1851913776

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL BetterHelp Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240308000967 NJ Practitioner - Mental Health Counselor 2163868431 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00719300NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Psychological Services CurrentSince Feb 28, 2024 Accepting new patients

Locations

1790 Marlton Pike E
Cherry Hill, NJ 08003

108 Centre Blvd
Ste C
Marlton, NJ 08053

44 Cooper St
Ste 203
Woodbury, NJ 08096

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": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1851913776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ESSEX DR",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522503",
            "telephone_number": "732-456-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 ESSEX DR",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522503",
            "telephone_number": "732-456-1238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2512 Gianna Dr",
            "address_purpose": "LOCATION",
            "city": "Glassboro",
            "state": "NJ",
            "postal_code": "080283464",
            "country_code": "US",
            "telephone_number": "732-456-1238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANWAR",
        "first_name": "AISHA",
        "credential": "LPC, NCC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00719300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL BUT MEDICARE",
            "identifier": "1851913776",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1851913776",
            "identifier": "1851913776",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "BetterHelp",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "52 Essex Dr",
            "city": "Monmouth Junction",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088522503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monmouth Junction, NJ

Sources for this page

Verify at the official NPI Registry.