Theresa Santucci

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SC05348900 Issued in NJ

Practice address

106 E Crossing Dr
Mount Royal, NJ 08061-1143

Phone

(856) 746-4244

Fax

(609) 272-8707

NPI assigned

Sep 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Theresea Sun Other name

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

Clinical Social Worker

Education

Fordham University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aurora Sun Counseling, LLCGroup PAC ID 2961902077, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aurora Sun Counseling, LLC

  • Mental Health Counselor
  • Mount Royal, NJ
  • NPI 1114613106
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1922231372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E CROSSING DR",
            "city": "MOUNT ROYAL",
            "state": "NJ",
            "postal_code": "080611143",
            "telephone_number": "856-746-4244",
            "fax_number": "609-272-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E CROSSING DR",
            "city": "MOUNT ROYAL",
            "state": "NJ",
            "postal_code": "080611143",
            "telephone_number": "856-746-4244",
            "fax_number": "609-272-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTUCCI",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2023-04-26",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05348900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESEA",
            "last_name": "SUN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Ann Polk
• Ray of Hope Nutrition
• Amy Marie Ray, RD, RDN
• Fern Helaine Reinbeck, LPC
• Rooted Lactation LLC
• Brenna A Schillig
• Elizabeth Elaine Slusher
• There N Back
• Kristin Vespe, BCBA
• Kelly Wonderlin, MS, OTR/L

• Mental Health Counselor in Mount Royal, NJ
• Providers in Mount Royal, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.