Individual provider Active NPI

Irene Hoylie-Ristaino, LCADC, LAC, NCC

  • Addiction (Substance Use Disorder) Counselor
  • Neptune, NJ
National Provider Identifier
1881093896
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00186200 Issued in NJ
Practice address
57 South Main Street
Suite 162
Neptune, NJ 07753-3333
Phone
(732) 822-6520
NPI assigned
Aug 14, 2014
Last updated
Sep 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00186200 NJ Primary
Professional Counselor 101YP2500X 37PC00608300 NJ

Addresses

Primary practice location

57 South Main Street
Suite 162
Neptune, NJ 07753-3333

Mailing address

57 South Main Street
Suite 162
Neptune, NJ 07753-3333
Phone (732) 822-6520

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
37LC00186200NJMDAddiction (Substance Use Disorder) Counselor
37PC00608300NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1881093896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SOUTH MAIN STREET",
            "address_2": "SUITE 162",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533333",
            "telephone_number": "732-822-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SOUTH MAIN STREET",
            "address_2": "SUITE 162",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533333",
            "telephone_number": "732-822-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOYLIE-RISTAINO",
        "first_name": "IRENE",
        "credential": "LCADC, LAC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00186200",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00608300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.