Individual provider Active NPI

Carol Potozney, LPC

  • Professional Counselor
  • Upper Montclair, NJ
National Provider Identifier
1902354830
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PCOO441200 Issued in NJ
Practice address
543 Valley Rd Ste 9
Upper Montclair, NJ 07043-1844
Phone
(732) 902-2181
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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 37PCOO441200 NJ Primary

Addresses

Primary practice location

543 Valley Rd Ste 9
Upper Montclair, NJ 07043-1844

Mailing address

132 Stuyvesant Ave
16B
Lyndhurst, NJ 07071-1441
Phone (201) 390-7460

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
37PCOO441200NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1902354830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 STUYVESANT AVE",
            "address_2": "16B",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711441",
            "telephone_number": "201-390-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 VALLEY RD STE 9",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431844",
            "telephone_number": "732-902-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTOZNEY",
        "first_name": "CAROL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PCOO441200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.