Carly Decotiis PC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

CARLY DECOTIIS PC

Practice address

18 Bank St Ste 1
Summit, NJ 07901-3659

Phone

(908) 546-2126

NPI assigned

May 3, 2019

Organization subpart

No

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

Authorized official

Name

Carly Decotiis, NCC LPC ACS CCSNPI 1427331529

Title

Licensed Professional Counselor

Phone

(908) 546-2126

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carly Decotiis, MA, NCC, LPC, ACS

  • Professional Counselor
  • Summit, NJ
  • NPI 1427331529
  NPD (past) Authorized official

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1992360002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BANK ST STE 1",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013659",
            "telephone_number": "908-546-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BANK ST STE 1",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013659",
            "telephone_number": "908-546-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLY DECOTIIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "DECOTIIS",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "908-546-2126",
        "authorized_official_credential": "NCC LPC ACS CCS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Caputo, M.D.
• Carolyn Margaret Carew, DNP, CNM
• Kristen A Carleen, M.S., CCC-SLP
• Susan M Carleton, M.S.,RD
• Amanda Blair Carlin, PH.D.
• Paul Carniol, M.D. F.A.C.S.
• Amy A. Carsto, LPC
• Amanda Cassera
• James Cassuto
• Rodrigo Castro, D.O.

• Counselor in Summit, NJ
• Providers in Summit, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.