Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phung My Ly, LPCC, CDAC-II, MSCP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215365739

Phung My Ly, LPCC, CDAC-II, MSCP is a Mental Health Counselor in Newark, New Jersey. Qualified in 2008, 18 years ago. Practices as a sole proprietor. Licensed in California and New Jersey.

Years since qualifying
18
Licensed in
CA, NJ
In the registry since
2013
Specialties on file
3
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone: (888) 528-7618
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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 37PC00989900 (NJ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence RA9280413 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence LPCC6684 (CA)

Record details

NPI number1215365739
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , CDAC-II , MSCP
Sole proprietorYes
NPI enumeratedOctober 18, 2013
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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