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

Nicole Lynn Owenburg, LAC, NCC

Individual provider Mental Health Counselor · NPI 1477201465

Nicole Lynn Owenburg, LAC, NCC is a Mental Health Counselor in Hazlet, New Jersey. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2022
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

22 Village Ct
Hazlet, NJ 07730-1532
Phone: (732) 639-0232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 106 Apple St Ste 113, Tinton Falls, NJ 07724-2670 — (732) 639-0232

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 37AC00630900 (NJ)

Record details

NPI number1477201465
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC , NCC
Sole proprietorNo
NPI enumeratedMarch 17, 2022
Last updated in NPPESMarch 17, 2022
Certification dateMarch 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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