Individual provider Active NPI

Michelle Nirenberg, LPC

  • Professional Counselor
  • Eatontown, NJ
National Provider Identifier
1902227457
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00565400 Issued in NJ
Practice address
117 Highway 35 Ste 2
Eatontown, NJ 07724-1886
Phone
(630) 884-9012
NPI assigned
Dec 31, 2013
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC007141 GA
Mental Health Counselor 101YM0800X LPC006511 GA
Professional Counselor 101YP2500X 37PC00565400 NJ Primary

Addresses

Primary practice location

117 Highway 35 Ste 2
Eatontown, NJ 07724-1886

Mailing address

117 Highway 35 Ste 2
Eatontown, NJ 07724-1886
Phone (630) 884-9012

Other practice location 1

802 Vine St
Waycross, GA 31501-3128
Phone (912) 288-3579

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
I20231225000011 NJ Practitioner - Mental Health Counselor 1456701937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

10 Allen St
Unit 4 B
Toms River, NJ 08753-7652
Phone (201) 820-0057

505 Main St
Toms River, NJ 08753-7443
Phone (732) 852-4977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC006511GAMDMental Health Counselor
LPC007141GAMDMental Health Counselor
37PC00565400NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Lifebulb LLC Mental Health PastSince Oct 16, 2022 Accepting new patients

Locations

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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": "1388448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1902227457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HIGHWAY 35 STE 2",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241886",
            "telephone_number": "630-884-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HIGHWAY 35 STE 2",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241886",
            "telephone_number": "630-884-9012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Vine St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315013128",
            "country_code": "US",
            "telephone_number": "912-288-3579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIRENBERG",
        "first_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-31",
        "last_updated": "2026-09-29",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007141",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC006511",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00565400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.