ADAM DANIEL (NPI# 1609421908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609421908 |
| Entity Type | Individual |
| Full Name | ADAM DANIEL |
| Credential | LAC |
| Practice Address |
16-01 Broadway Fair Lawn NJ 07410-2026 |
| Mailing Address |
612 Peterson Farm Ct River Vale NJ 07675-5916 |
| Practice Telephone | 2017970001 |
| Mailing Telephone | 2012708086 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 37AC00371300 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
16-01 BROADWAY |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407276975 | Counseling Center At Fair Lawn, LLC | Clinic/Center | 16-01 Broadway, Fair Lawn, NJ 07410-2026 | 2014-04-23 |
| 1760039564 | Jordan Brown Sander | Social Worker | 16-01 Broadway, Fair Lawn, NJ 07410-2026 | 2019-08-26 |
| 1770130007 | Phoebe Elizabeth Sumas | Counselor | 16-01 Broadway, Fair Lawn, NJ 07410-2026 | 2019-08-21 |
| 1982251401 | Kristie Ashe | Social Worker | 16-01 Broadway, Fair Lawn, NJ 07410-2026 | 2019-08-20 |
| 1891340972 | Maria Medina | Social Worker | 16-01 Broadway, Fair Lawn, NJ 07410-2026 | 2019-08-06 |
| 1811372790 | Fair Lawn Diagnostics LLC | Clinical Medical Laboratory | 16-01 Broadway, Fair Lawn, NJ 07410-2026 | 2015-07-21 |
| 1073908018 | Mh At Fair Lawn LLC | Counselor | 16-01 Broadway, Fair Lawn, NJ 07410-2026 | 2015-04-06 |
| 1295131134 | Route 4 Medical Associates LLC | Clinical Medical Laboratory | 16-01 Broadway, Fair Lawn, NJ 07410-2026 | 2014-11-04 |
| 1831595776 | 01 Medical Group LLC | Psychiatry & Neurology | 16-01 Broadway, Fair Lawn, NJ 07410-2026 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1215293576 | Jennifer J Victoria-proano | Counselor | 18-01 Pollitt Drive Suite 1a, Fair Lawn, NJ 07410 | 2012-04-11 |
| 1770130007 | Phoebe Elizabeth Sumas | Counselor | 16-01 Broadway, Fair Lawn, NJ 07410-2026 | 2019-08-21 |
| 1003326273 | Stephanie Domnitz | Counselor | 17-07 Romaine St, Fair Lawn, NJ 07410-2150 | 2017-10-02 |
| 1285179952 | Lara Acikbaht | Counselor | 17-07 Romaine St, Fair Lawn, NJ 07410-2150 | 2017-01-04 |
| 1710353396 | John Frederick Milius | Counselor | 22-08 Route 208, Suite 16, Fair Lawn, NJ 07410-2609 | 2015-08-18 |
| 1073947990 | Edilia P Kelly | Counselor | 22-08 Route 208, Fair Lawn, NJ 07410-2609 | 2013-08-27 |
| 1770915100 | Bruce P Pajot | Counselor | 22-08 Route 208, Fair Lawn, NJ 07410-2609 | 2013-08-08 |
| 1720410228 | Ann Lee | Counselor | 22-08 Route 208, Fair Lawn, NJ 07410-2609 | 2013-08-07 |
| 1831452713 | Joann Telesh | Counselor | 17-07 Romaine St, Fair Lawn, NJ 07410-2150 | 2012-06-16 |
| Find all providers in FAIR LAWN | ||||
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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.