Individual provider Active NPI

Eileen Delhagen, MSW, LCSW

  • Mental Health Counselor
  • Brick, NJ
National Provider Identifier
1972570216
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC00845400 Issued in NJ
Practice address
2095 Route 88
Suite 3
Brick, NJ 08724-3265
Phone
(732) 701-0440
Fax
(732) 701-0419
NPI assigned
Mar 7, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC00845400 NJ Primary

Addresses

Primary practice location

2095 Route 88
Suite 3
Brick, NJ 08724-3265

Mailing address

PO Box 1926
Brick, NJ 08723-1071
Phone (732) 701-0440

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

LicenseStateTypeSpecialty
44SC00845400NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic and Psychiatric Therapy, PA Past Accepting new patients
Adults & Children Behavioral Counseling Center LLC Mental Health PastSince Apr 25, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1972570216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1926",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087231071",
            "telephone_number": "732-701-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 ROUTE 88",
            "address_2": "SUITE 3",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243265",
            "telephone_number": "732-701-0440",
            "fax_number": "732-701-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELHAGEN",
        "first_name": "EILEEN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC00845400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.