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Active NPI 1073085304 Individual Practitioner Female Practitioner

Sandy Ibrahim , LAC

Counselor • Edison, NJ

Professional Overview & Biography Verified Profile Summary

Sandy Ibrahim, LAC is a registered healthcare professional specializing in Counselor in Edison, NJ. Practice services are available at 100 METROPLEX DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Metroplex Dr

Edison, NJ 088172684

Telephone 7322358443
Associated Practice Facility / Clinic
🏢 Coordinated Family Care Facility NPI 1205988813

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Edison, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Edison, NJ (1633 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License NJ 37AC00439800

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Jonathan Tapia , OTR

Occupational Therapist

NPI 1003167545

Occupational Therapist Registered

Michelle Zitomer

Social Worker - Clinical

NPI 1184856908
Karolina Belz

Case Manager/Care Coordinator

NPI 1245020585
Kristyn Verderosa , LCSW

Social Worker - Clinical

NPI 1245661131

Licensed Clinical Social Worker

Mina Ibrahim

Case Manager/Care Coordinator

NPI 1316603442
Vanessa Barthelus , COUNSELOR

Case Manager/Care Coordinator

NPI 1396577094

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 27, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2018

Registered at 100 METROPLEX DR, EDISON, NJ 088172684 (Tel: 7322358443)

📍
Updated Business Mailing Address December 27, 2018

Registered at 671 HOES LN W, PISCATAWAY, NJ 088548021

👤
Provider Name / Credentials Updated December 27, 2018

Recorded as SANDY IBRAHIM, LAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2018

Counselor (License #37AC00439800 in NJ)

🟢
Initial NPI Registration & Enumeration December 27, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073085304
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2018
Last Update: December 27, 2018
Sole Proprietor: No

Mailing Address

671 Hoes Ln W

Piscataway, NJ 088548021

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.