Individual provider Active NPI

Lauren Zavodnick, LPC

  • Professional Counselor
  • Princeton Junction, NJ
National Provider Identifier
1952953119
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00916800 Issued in NJ
Practice address
88 Princeton Hightstown Rd
Princeton Junction, NJ 08550-1100
Phone
(732) 982-2888
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00916800 NJ Primary
Mental Health Counselor 101YM0800X 37AC00479300 NJ

Addresses

Primary practice location

88 Princeton Hightstown Rd
Princeton Junction, NJ 08550-1100

Mailing address

88 Princeton Hightstown Rd
Princeton Junction, NJ 08550-1100
Phone (732) 982-2888

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240830003004 NJ Practitioner - Mental Health Counselor 4981143112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebulb LLCGroup PAC ID 2062881162, 97 clinicians

Practice addresses (Care Compare)

505 Main St
Toms River, NJ 08753-7443
Phone (732) 272-0127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00479300NJMDMental Health Counselor
37PC00916800NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebulb LLC Mental Health CurrentSince Jun 6, 2024 Accepting new patients
Thrive Counseling LLC Mental Health CurrentSince Jun 6, 2024 Accepting new patients
New Jersey Behavioral Health P.C PastSince Mar 21, 2021 Accepting new patients
PHC of Buffalo Grove Clinical Psychology PastSince Jan 1, 2016 Accepting new patients

Locations

3 Lincoln Hwy
Ste 102A
Edison, NJ 08820

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.laurenzavodnick@148376.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1952953119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PRINCETON HIGHTSTOWN RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501100",
            "telephone_number": "732-982-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PRINCETON HIGHTSTOWN RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501100",
            "telephone_number": "732-982-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVODNICK",
        "first_name": "LAUREN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00916800",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00479300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton Junction, NJ

Sources for this page

Verify at the official NPI Registry.