Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Nicolette Rose Takach, LPC

Individual provider Professional Counselor · NPI 1740077569

MS. Nicolette Rose Takach, LPC is a Professional Counselor in Brick, New Jersey. Licensed in New Jersey. Registered with an NPI since 2025.

Licensed in
NJ
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

35 Beaverson Blvd
Brick, NJ 08723-7812
Phone: (732) 966-4166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 37PC01137400 (NJ)

Record details

NPI number1740077569
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 16, 2025

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