Diane Alexy Sosa, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00631300 Issued in NJ

Practice address

115 River Rd Ste 118
Edgewater, NJ 07020-1009

Phone

(201) 523-2129

NPI assigned

May 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jersey Psych LLC

  • Mental Health Counselor
  • Paramus, NJ
  • NPI 1023990041
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1902397490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CHAMBERLAIN AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071418",
            "telephone_number": "201-523-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 RIVER RD STE 118",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201009",
            "telephone_number": "201-523-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "DIANE",
        "middle_name": "ALEXY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00631300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyview Dental Center LLP
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• Anna Caroline Smith
• Audrey P Soboczynski, FNP-C
• Kevin M Soriano, MD
• Spectrum Physical Therapy & Athletic Training, LLC
• Spectrum Physical Therapy and Athletic Training LLC
• Margaret B. Steele, L.AC., C.A.
• Daniel Y Suh, D.M.D
• Summit Medical Group PA

• Professional Counselor in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.