1. Home
  2. Directory
  3. New Jersey
  4. Nutley
  5. Counselor
  6. NPI Profile

MRS. SALLY ANN GONCALVES LPC
NPI 1124785316
Counselor - Professional in Nutley, NJ

Active since November 22, 2021PECOS Enrolled

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2022, Nov 22, 2021 (2 updates tracked since 2021).

About Mrs. Sally Ann Goncalves Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SALLY ANN GONCALVES LPC (NPI 1124785316) is an individual professional provider in Nutley, New Jersey, licensed in New Jersey (37PC00813600) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124785316
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SALLY ANN GONCALVESCredential: LPC
Location Address9 BRIAR LNNutley, NJ 07110-3001
Mailing Address9 Briar LnNutley, NJ 07110-3001 · (973) 623-0600
Phone(973) 623-0600
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 22, 2021
Last NPPES UpdateFebruary 2, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
✔ NPI 1124785316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in NJ · 37PC00813600✔ Licensed in NJ · 37AC00418500
9 BRIAR LN, Nutley, NJ 07110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sally Ann Goncalves Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577873413
PECOS Enrollment IDI20250630001350
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEHAVIORAL HEALTH ASSOCIATES OF NEW JERSEY LLC
Community/Behavioral Health
9 BRIAR LN
NUTLEY, NJ 07110
Essex County (973) 542-0703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Ann Goncalves's NPI number?

The NPI number for Sally Ann Goncalves is 1124785316. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Where is Sally Ann Goncalves located?

Sally Ann Goncalves practices at 9 Briar Ln, Nutley, NJ 07110. The listed phone number is (973) 623-0600.

What is Sally Ann Goncalves's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sally Ann Goncalves enrolled in Medicare?

Yes. Sally Ann Goncalves is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Ann Goncalves was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.