Individual provider Active NPI

Amy Ellen Degirolamo, LPC

  • Professional Counselor
  • Woodbury, NJ
National Provider Identifier
1891324919
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
45 Euclid St Ste 201
Woodbury, NJ 08096-4631
Phone
(856) 628-4504
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

45 Euclid St Ste 201
Woodbury, NJ 08096-4631

Mailing address

45 Euclid St Ste 201
Woodbury, NJ 08096-4631
Phone (856) 628-4504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240429000096 NJ Practitioner - Mental Health Counselor 3173963931 Reassigns benefits to 1 organization
I20250106000733 PA Practitioner - Mental Health Counselor 3173963931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

442 Westwood Dr
West Deptford, NJ 08096-3130
Phone (609) 221-1625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Degirolamo LLC Therapy Professional CurrentSince Mar 1, 2024 Accepting new patients

Locations

367 W Lancaster Ave
Ste 2
Haverford, PA 19041
Phone (609) 221-1625

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1891324919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 EUCLID ST STE 201",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964631",
            "telephone_number": "856-628-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 EUCLID ST STE 201",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964631",
            "telephone_number": "856-628-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGIROLAMO",
        "first_name": "AMY",
        "middle_name": "ELLEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.