Active NPI
Shalin J Bhatt, LPC, LCADC, NCC
- Professional Counselor
- Newark, NJ
National Provider Identifier
1952792483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00661000
- Practice address
- 323 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-1824 - Phone
- (973) 596-3414
- NPI assigned
- Feb 5, 2015
- Last updated
- Mar 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00301400 | NJ | |
| Professional Counselor | 101YP2500X | 37PC00661000 | NJ | Primary |
Addresses
Primary practice location
323 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-1824
Mailing address
725 River Road, Suite 32
#156
Edgewater, NJ 07020-1149
Phone (551) 325-4715
Other practice location 1
725 River Road
Edgewater, NJ 07020-1149
Phone (551) 325-4715
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00301400 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 37PC00661000 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shifa Therapy LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
725 River Rd
Ste 32
Edgewater, NJ 07020
Phone (201) 873-8611
Organizations & group practices 1
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.
-
- Professional Counselor
- Edgewater, NJ
- NPI 1891452231
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1952792483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 RIVER ROAD, SUITE 32",
"address_2": "#156",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201149",
"telephone_number": "551-325-4715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 DR MARTIN LUTHER KING JR BLVD",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071021824",
"telephone_number": "973-596-3414"
}
],
"practiceLocations": [
{
"address_1": "725 River Road",
"address_purpose": "LOCATION",
"city": "Edgewater",
"state": "NJ",
"postal_code": "070201149",
"country_code": "US",
"telephone_number": "551-325-4715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHATT",
"first_name": "SHALIN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LPC, LCADC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-05",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00301400",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00661000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.