Active NPI
Trina Nixon, CPRS
- Peer Specialist
- Lawrence, NJ
National Provider Identifier
1972128056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 50089
- Practice address
- 1931 Brunswick Ave
Lawrence, NJ 08648-4603 - Phone
- (609) 826-1522
- Fax
- (844) 364-8494
- NPI assigned
- Jun 15, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Peer Specialist | 175T00000X | 50089 | NJ | Primary |
Addresses
Primary practice location
1931 Brunswick Ave
Lawrence, NJ 08648-4603
Mailing address
73 Lakeside Blvd
Trenton, NJ 08610-1612
Phone (609) 826-1522
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 |
|---|---|---|---|
| 50089 | NJ | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1972128056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 LAKESIDE BLVD",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086101612",
"telephone_number": "609-826-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 BRUNSWICK AVE",
"city": "LAWRENCE",
"state": "NJ",
"postal_code": "086484603",
"telephone_number": "609-826-1522",
"fax_number": "844-364-8494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "TRINA",
"credential": "CPRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NJ",
"license": "50089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.