BANDELE ADDISON (NPI# 1114342078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114342078 |
| Entity Type | Individual |
| Full Name | BANDELE ADDISON |
| Credential | LPC |
| Practice Address |
522 Brick Blvd Brick NJ 08723-6089 |
| Mailing Address |
631m Madison Dr Monroe Township NJ 08831-5243 |
| Practice Telephone | 9734320427 |
| Mailing Telephone | 9734320427 |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00491900 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
522 BRICK BLVD |
| City | BRICK |
| State | NJ |
| Zip Code | 08723-6089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811133200 | Therapy To Go, LLC | Physical Therapist | 522 Brick Blvd, Unit 101, Brick, NJ 08723-6089 | 2009-01-06 |
| 1699210559 | Kathleen P Buzzone-brooks | Social Worker | 522 Brick Blvd, Brick, NJ 08723-6089 | 2017-01-03 |
| 1538534144 | Paul Carberry | Counselor | 522 Brick Blvd, Brick, NJ 08723-6089 | 2015-12-08 |
| 1538551072 | King of Hearts Life Enhancement Services, LLC | Counselor | 522 Brick Blvd, Brick, NJ 08723-6089 | 2015-02-20 |
| 1699184226 | King of Hearts Life Enhancement Center | Counselor | 522 Brick Blvd, Brick, NJ 08723-6089 | 2014-08-07 |
| 1376985341 | Rosalind Frances Pagliano | Counselor | 522 Brick Blvd, Brick, NJ 08723-6089 | 2013-07-19 |
| 1518294404 | Ngozi Nwobi | Nurse Practitioner | 522 Brick Blvd, Suite 201, Brick, NJ 08723 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437829 | Michael Gatto | Hearing Instrument Specialist | 2791 Hooper Ave, Brick, NJ 08723 | 2020-11-02 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982179875 | Enable, Inc. | Residential Treatment Facility, Physical Disabilities | 481 Herbertsville Road, Brick, NJ 08723 | 2018-10-08 |
| 1689154585 | Erica Beckenhauer | Physical Therapist | 909 Cedarbridge Avenue, Brick, NJ 08723 | 2018-08-20 |
| 1578059283 | Bricktowne Pharmacy LLC | Pharmacy | 101 Prosper Way, Unit C, Brick, NJ 08723 | 2018-07-05 |
| 1376045088 | Katie Lynn Hueth | Counselor | 74 Brick Blvd., Building 4, Suite 206b, Brick, NJ 08723 | 2018-03-08 |
| 1548786445 | Apmr Chiropractic | Chiropractor | 56 Chambers Bridge Road, Brick, NJ 08723 | 2017-08-22 |
| 1972050441 | Donna Francese | Counselor | 104 Teakwood Drive, Brick, NJ 08723 | 2016-09-01 |
| 1780130377 | Eastern Dental of Ocean/monmouth, LLC | Dentist | 2770 Hooper Ave., Unit 4, Brick, NJ 08723 | 2016-09-01 |
| 1073066700 | Garden State Smiles of Brick | Dentist | 525 Route 70 E, Suite 1a, Brick, NJ 08723 | 2016-07-29 |
| Find all providers in zip 08723 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619584588 | Amy Lynn Mcgowan | Counselor | 35 Beaverson Blvd., Bldg. 6, Suite A, Brick, NJ 08723-7812 | 2020-09-25 |
| 1588286322 | Elizabeth Millemann | Counselor | 205 Essex Dr, Brick, NJ 08723-6501 | 2020-05-14 |
| 1780219881 | Theodore Zaleski | Counselor | 212 Jack Martin Blvd Ste D2, Brick, NJ 08724-7771 | 2020-03-09 |
| 1962036590 | Linda Sykes | Counselor | 74 Brick Blvd Ste 206b, Brick, NJ 08723-7991 | 2020-02-22 |
| 1780231423 | Danielle Corcoran | Counselor | 1500 State Highway 88, Brick, NJ 08724-2320 | 2019-08-19 |
| 1023595188 | Rachel Gentry | Counselor | 74 Brick Blvd Bldg 4, Brick, NJ 08723-7984 | 2018-07-22 |
| 1821587809 | Jill Nydam | Counselor | 30 Deer Run Ln, Brick, NJ 08724-4390 | 2018-05-06 |
| 1376045088 | Katie Lynn Hueth | Counselor | 74 Brick Blvd., Building 4, Suite 206b, Brick, NJ 08723 | 2018-03-08 |
| 1588172498 | Developing Wellness Therapy Group | Counselor | 321 Herbertsville Rd Ste 101, Brick, NJ 08724-1713 | 2018-01-12 |
| 1922453034 | Adelaide M King | Counselor | 113 Lindbergh Dr, Brick, NJ 08724-1861 | 2016-04-26 |
| Find all providers in BRICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.