Individual provider Active NPI

Lara Eggerling

  • Counselor
  • Clifton, NJ
National Provider Identifier
1881295285
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
53 Orchard St
Clifton, NJ 07013-1832
Phone
(973) 773-7600
NPI assigned
Nov 3, 2020
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

53 Orchard St
Clifton, NJ 07013-1832

Mailing address

53 Orchard St
Clifton, NJ 07013-1832
Phone (973) 773-7600

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
I20241122000759 NJ Practitioner - Mental Health Counselor 5294260634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
New York University Medical College - NLG, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult Family Health Services LLCGroup PAC ID 3072918713, 7 clinicians

Practice addresses (Care Compare)

53 Orchard St
Clifton, NJ 07013-1832
Phone (973) 773-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Family Health Services LLC Past Accepting new patients

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, 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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1881295285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ORCHARD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131832",
            "telephone_number": "973-773-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ORCHARD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131832",
            "telephone_number": "973-773-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGERLING",
        "first_name": "LARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.