Healthcare Provider Details

I. General information

NPI: 1487310421
Provider Name (Legal Business Name): NIKESH TRIVEDI LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4390 BRUNSWICK PIKE STE 200
PRINCETON NJ
08540-5747
US

IV. Provider business mailing address

19 PRATT LN
LAWRENCE TOWNSHIP NJ
08648-2339
US

V. Phone/Fax

Practice location:
  • Phone: 609-245-6480
  • Fax:
Mailing address:
  • Phone: 973-309-4692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01090600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: