MARY ANN GODEFROY (NPI# 1275801144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275801144 |
Entity Type | Individual |
Full Name | MARY ANN GODEFROY |
Credential | LPC, LCADC |
Practice Address |
17 Chestnut Street Princeton NJ 08542 |
Practice Telephone | 6099372407 |
Mailing Telephone | 6099372407 |
Enumeration Date | 2011-12-07 |
Last Update Date | 2011-12-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00176100 | NJ | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00433300 | NJ | Behavioral Health & Social Service Providers |
Street Address |
17 CHESTNUT STREET |
City | PRINCETON |
State | NJ |
Zip Code | 08542 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811354822 | Brooke Sweet | Psychologist | 20 Nassau Street, Suite 409, Princeton, NJ 08542 | 2016-01-21 |
1598024523 | Libby Zinman Schwartz | Counselor | 43c Palmer Square West, Princeton, NJ 08542 | 2012-05-11 |
1164796132 | Beth W. Smith | Social Worker | 20 Nassau St Ste 234b, Princeton, NJ 08542 | 2012-03-08 |
1639458607 | Pierina Thayer | Counselor | 40 Witherspoon Street, Princeton, NJ 08542 | 2011-08-09 |
1083906655 | Amy Elizabeth Bibb | Social Worker | 20 Nassau St Ste 111, Princeton, NJ 08542 | 2011-05-13 |
1043538184 | Princeton Premier Medicine, LLC | Internal Medicine | 281 Witherspoon Street, Suite 220, Princeton, NJ 08542 | 2010-05-13 |
1790944551 | Mercedes Kennedy | Psychologist | 195 Nassau Street Office #28, Princeton, NJ 08542 | 2008-06-06 |
1124152350 | Janet Beth Merkin Weistuch | Social Worker | 194 Nassau St, Princeton, NJ 08542 | 2007-03-16 |
1235281890 | Norman Martin Weistuch | Psychologist | 194 Nassau Street, Princeton, NJ 08542 | 2007-01-16 |
1326112400 | Lauri Diane Mulvey | Ophthalmology | 213 Nassau Street, Princeton, NJ 08542 | 2006-11-20 |
Find all providers in zip 08542 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922624840 | Cherie M. Barton | Counselor | 6415 Fm 546 Lot 2, Princeton, TX 75407-4097 | 2020-06-17 |
1215577515 | Contee Botchford Moschberger | Counselor | 353 Nassau St, Princeton, NJ 08540-4623 | 2020-01-14 |
1841787900 | Magdalena Furniss | Counselor | 20 Nassau St Ste 226, Princeton, NJ 08542-4505 | 2018-04-15 |
1417451725 | Poonam D Patel | Counselor | 14 Farber Rd Ste 112, Princeton, NJ 08540-5913 | 2018-03-21 |
1679090344 | Sudha Nagarajan | Counselor | 145 Witherspoon St., Suite A7, Princeton, NJ 08540 | 2017-08-24 |
1437695756 | Kimberly Beury | Counselor | 29 Leigh Ave, Princeton, NJ 08542-3111 | 2017-01-10 |
1598120123 | Eclectic Dragonfly Therapy Services, Pllc | Counselor | 108 6th Ave S, Princeton, MN 55371-1820 | 2015-12-26 |
1619344504 | Danice C. Banda | Counselor | 4499 Route 27 Ste 1, Princeton, NJ 08540-8717 | 2015-08-26 |
1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
1083043798 | Esther Mills | Counselor | 218 Birch Ave, Princeton, NJ 08542-3106 | 2013-11-03 |
Find all providers in PRINCETON |
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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.