Christine Backiel

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00763000 Issued in NJ

Practice address

1023 Commerce Ave
Union, NJ 07083-5025

Phone

(908) 930-0955

NPI assigned

Jun 24, 2021

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, 2014

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.

• Bridgeway Behavioral Health Services

  • Community/Behavioral Health Agency
  • Elizabeth, NJ
  • NPI 1639294879
  Medicare reassignment NPD
• Bridgeway Behavioral Health Services

  • Community/Behavioral Health Agency
  • Union, NJ
  • NPI 1386781920
  NPD

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1902476765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 CONANT AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837724",
            "telephone_number": "908-209-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 COMMERCE AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835025",
            "telephone_number": "908-930-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKIEL",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00763000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ayers, MA, PD, NCSP
• Michael Ayoub, DDS
• Eyriney Azer, PA
• Derrick Aznar, DPT
• Ruthie Cinco Bacani-Bucu, P.T.
• Savannah R Bacon
• Irena Badzelewicz, DDS
• Frederick D Bailey, DMD
• Sadaysia A Baker
• Balance Mind & Wellness Psychiatry

• Professional Counselor in Union, NJ
• Providers in Union, 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 Feb 16, 2022; 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.