Individual provider Active NPI

Nely Vasquez-Garcia, LPC

  • Professional Counselor
  • Monmouth Junction, NJ
National Provider Identifier
1861968539
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01044700 Issued in NJ
Practice address
4326 US Highway 1
Monmouth Junction, NJ 08852-1906
Phone
(732) 235-5790
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional Counselor 101YP2500X 37PC01044700 NJ Primary

Addresses

Primary practice location

4326 US Highway 1
Monmouth Junction, NJ 08852-1906

Mailing address

5114 Wyndhurst Dr
Plainsboro, NJ 08536-2035
Phone (609) 802-9766

Other practice location 1

2857 Linden Blvd
Brooklyn, NY 11208-5126
Phone (718) 235-3100

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
I20241011001011 NJ Practitioner - Mental Health Counselor 1355873670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

671 Hoes LN W
RM C205
Piscataway, NJ 08854-8021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health - Behavioral Health Multi-Specialty CurrentSince Sep 23, 2024 Accepting new patients
Rutgers Health - Behavioral Health Multi-Specialty Current Accepting new patients

Locations

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Rm C205
Piscataway, NJ 08854
Phone (732) 235-4040

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

Organizations & group practices 2

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": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1861968539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 WYNDHURST DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085362035",
            "telephone_number": "609-802-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 US HIGHWAY 1",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521906",
            "telephone_number": "732-235-5790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2857 Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112085126",
            "country_code": "US",
            "telephone_number": "718-235-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ-GARCIA",
        "first_name": "NELY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01044700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth Junction, NJ

Sources for this page

Verify at the official NPI Registry.