Active NPI
Lauren N. Seifert, LPC, LCADC
- Professional Counselor
- Passaic, NJ
National Provider Identifier
1972256139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00736700
- Practice address
- 121 Howe Ave
Passaic, NJ 07055-4013 - Phone
- (973) 777-2962
- Fax
- (973) 777-2962
- NPI assigned
- Jan 28, 2022
- Sex
- Female
- 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 | 37LC00344300 | NJ | |
| Professional Counselor | 101YP2500X | 37PC00736700 | NJ | Primary |
Addresses
Primary practice location
121 Howe Ave
Passaic, NJ 07055-4013
Mailing address
735 Lawlins Rd
Franklin Lakes, NJ 07417-2502
Phone (201) 693-7212
Other names 1
- Lauren N. Illge
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00736700 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocates for Wellness | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Northeast Life Skills Associates, Inc. | Past | Accepting new patients | |
| Northeast Life Skills Associates Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Franklin Lakes, NJ
- NPI 1326840083
Addiction (Substance Use Disorder)
-
- Methadone Clinic
- Passaic, NJ
- NPI 1891865549
-
- Methadone Clinic
- Passaic, NJ
- NPI 1093707192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1972256139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 LAWLINS RD",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074172502",
"telephone_number": "201-693-7212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 HOWE AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554013",
"telephone_number": "973-777-2962",
"fax_number": "973-777-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIFERT",
"first_name": "LAUREN",
"middle_name": "N.",
"credential": "LPC, LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00344300",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00736700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "ILLGE",
"middle_name": "N.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.