Justin Daniel Streater Sr.
Counselor, Mental Health in Erial, NJ. Individual provider (NPI-1).
NPI number1417349366
StatusActive
Last updated in NPPESMar 2, 2015
Details
- NPI
- 1417349366
- Entity type
- Individual (NPI-1)
- Name
- Mr. Justin Daniel Streater Sr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2015
- Last updated
- Mar 2, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2295 Garwood RdErial, NJ 08081-2221
Phone 609-267-5928
Mailing address
770 Woodlane RdWestampton, NJ 08060-3804
Phone 609-267-5928
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Other Mental Health Counselor providers in Erial, NJ
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