Individual provider Active NPI

Vanessa Hitchman, LPC

  • Professional Counselor
  • Princeton Junction, NJ
National Provider Identifier
1962023622
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01059000 Issued in NJ
Practice address
231 Clarksville Rd Ste 4a
Princeton Junction, NJ 08550-5300
Phone
(732) 982-2888
Fax
(847) 859-5885
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC01059000 NJ Primary

Addresses

Primary practice location

231 Clarksville Rd Ste 4a
Princeton Junction, NJ 08550-5300

Mailing address

231 Clarksville Rd Ste 4a
Princeton Junction, NJ 08550-5300
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
I20240923002026 NJ Practitioner - Mental Health Counselor 8123569779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Jersey Behavioral Health PCGroup PAC ID 4284001025, 127 clinicians

Practice addresses (Care Compare)

343 Old Georges Rd
North Brunswick, NJ 08902-4801
Phone (732) 982-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC01059000NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
PHC of Buffalo Grove Clinical Psychology CurrentSince May 1, 2020 Accepting new patients
New Jersey Behavioral Health P.C CurrentSince Sep 1, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

175 E Hawthorne Pkwy
Ste 235
Vernon Hills, IL 60061
Phone (847) 865-4125

1873 Marlton Pike E
Ste 2-C
Cherry Hill, NJ 08003

343 Old Georges Rd
North Brunswick, NJ 08902
Phone (201) 754-8450

343 Old Georges Rd
Ste 201
North Brunswick, NJ 08902
Phone (609) 969-3009

231 Clarksville Rd
Ste 4A
Princeton Junction, NJ 08550
Phone (329) 822-8887

88 Princeton Hightstown Rd
Ste 202
West Windsor, NJ 08550
Phone (609) 497-4900

Interoperability endpoints

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

Organizations & group practices 2

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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1962023622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CLARKSVILLE RD STE 4A",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085505300",
            "telephone_number": "732-982-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CLARKSVILLE RD STE 4A",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085505300",
            "telephone_number": "732-982-2888",
            "fax_number": "847-859-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITCHMAN",
        "first_name": "VANESSA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01059000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton Junction, NJ

Sources for this page

Verify at the official NPI Registry.