| Perlman Counseling And Supervision Services Llc | |
|
208 E Main St Manasquan NJ 08736-3044 | |
| (732) 930-3321 | |
| (732) 292-4505 |
| Full Name | Perlman Counseling And Supervision Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 208 E Main St, Manasquan, New Jersey |
| Authorized Official Name and Position | Rachel M Perlman (OWNER) |
| Authorized Official Contact | 7329303321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perlman Counseling And Supervision Services Llc 208 E Main St Manasquan NJ 08736-3044 Ph: (327) 292-4504 | Perlman Counseling And Supervision Services Llc 208 E Main St Manasquan NJ 08736-3044 Ph: (732) 930-3321 |
| NPI Number | 1558852376 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 05/29/2018 |
| Medicare PECOS PAC ID | 8729501903 |
|---|---|
| Medicare Enrollment ID | O20250328000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558852376 | NPI | - | NPPES |
| 1619343910 | Other | NJ | LICENSED PROFESSIONAL COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 37PC00526700 (New Jersey) | Primary |
| Provider Name | Heather Mccooey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568818144 PECOS PAC ID: 9830447580 Enrollment ID: I20180813001235 |
| Provider Name | Rachel Perlman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619343910 PECOS PAC ID: 4385167493 Enrollment ID: I20250401000239 |
| Provider Name | Lisa Dittman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215563184 PECOS PAC ID: 4789108598 Enrollment ID: I20250414000774 |
| Provider Name | Kathleen Carr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235826082 PECOS PAC ID: 4486178241 Enrollment ID: I20250414002110 |
| Provider Name | Kristen Molloy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750015608 PECOS PAC ID: 6901321116 Enrollment ID: I20250421002156 |
| Provider Name | Daniel Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467241109 PECOS PAC ID: 4486171543 Enrollment ID: I20250512002792 |
| Provider Name | Molly Kley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417578063 PECOS PAC ID: 2860901014 Enrollment ID: I20250530002048 |
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