Individual provider

Phung My Ly, LPCC, CDAC-II, MSCP

Professional Counselor Addiction (Substance Use Disorder) Counselor Medicare enrolled

Phung My Ly, LPCC, CDAC-II, MSCP is a Professional Counselor in Newark, NJ, registered under NPI 1215365739. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1 GATEWAY CTR STE 2600, Newark, NJ 07102. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1 GATEWAY CTR STE 2600, Newark, NJ 07102 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
37PC00989900 NJ Professional Counselor primary
RA9280413 CA Addiction (Substance Use Disorder)…
LPCC6684 CA Professional Counselor

Licences are recorded in 2 states: NJ, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
8325543713
Enrollment ID
I20250925004431

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: California and New Jersey. The practice address on file is in Newark, NJ, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California
Licence
RA9280413
Specialty
Addiction (Substance Use Disorder)…
Verify with the CA board →
NJ New Jersey practice address
Licence
37PC00989900
Specialty
Professional Counselor
Verify with the NJ board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional 37PC00989900 NJ primary
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) RA9280413 CA
101YP2500X Professional Counselor Professional LPCC6684 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1215365739 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 18, 2013
Last updatedMar 1, 2024
StatusActive
Sole proprietorYes
CredentialLPCC, CDAC-II, MSCP
Practice address 1 GATEWAY CTR STE 2600
Newark, NJ 07102
(888) 528-7618
Mailing address 228 PARK AVE S
New York, NY 10003
This record was updated on Mar 1, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1215365739 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 1 5 3 6 5 7 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 2 5 6 6 1 7 6

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1215365739?
NPI 1215365739 is the National Provider Identifier assigned to Phung My Ly, LPCC, CDAC-II, MSCP in Newark, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Phung My Ly, LPCC, CDAC-II, MSCP?
The phone number on file with NPPES is (888) 528-7618, last updated Mar 1, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Phung My Ly, LPCC, CDAC-II, MSCP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1215365739 a valid number?
Yes. 1215365739 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.