Individual provider Active NPI

Richard Ponton, PHD

  • Professional Counselor
  • Eatontown, NJ
National Provider Identifier
1902052335
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC0874 Issued in NJ
Practice address
56 Jamestown Rd
Eatontown, NJ 07724-2433
Phone
(732) 531-2600
Fax
(732) 571-8567
NPI assigned
Aug 18, 2008
Last updated
Aug 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000614 NY
Professional Counselor 101YP2500X PC0874 NJ Primary

Addresses

Primary practice location

56 Jamestown Rd
Eatontown, NJ 07724-2433

Mailing address

56 Jamestown Rd
Eatontown, NJ 07724-2433
Phone (732) 531-2600

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
I20250612003111 NJ Practitioner - Mental Health Counselor 0547771073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain Health CenterGroup PAC ID 1557872082, 2 clinicians

Practice addresses (Care Compare)

3100 Route 138 W
BLDG 2
Wall Township, NJ 07719-9020
Phone (848) 404-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PC0874NJMDProfessional Counselor
000614NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Health Center Professional CurrentSince May 10, 2025 Accepting new patients

Locations

3100 State Route 138
Ste 2
Wall Township, NJ 07719
Phone (732) 747-8480

3100 State Route 138
Ste 1
Wall Township, NJ 07719
Phone (973) 294-0519

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1902052335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 JAMESTOWN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242433",
            "telephone_number": "732-531-2600",
            "fax_number": "732-571-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 JAMESTOWN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242433",
            "telephone_number": "732-531-2600",
            "fax_number": "732-571-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTON",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000614",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "PC0874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.