COMMUNITY COUNSELING SERVICES OF NORTHERN NEW JERSEY (NPI# 1336294230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336294230 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNSELING SERVICES OF NORTHERN NEW JERSEY |
| Practice Address |
2083 Center Ave Suite 3h Fort Lee NJ 07024 |
| Practice Telephone | 2015852477 |
| Practice Fax Number | 2015852807 |
| Mailing Telephone | 2015852477 |
| Mailing Fax Number | 2015852807 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. IGOR BEREGNOI (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2015852477 |
| Authorized Official Credential | PHD LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0112305 | 05 |
| Street Address |
2083 CENTER AVE SUITE 3H |
| City | FORT LEE |
| State | NJ |
| Zip Code | 07024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828726 | You S Jung | Pharmacist | 1275 15th Street Apt 2e, Fort Lee, NJ 07024 | 2020-07-17 |
| 1205316528 | Professional Orthopedic and Sports Therapy of Nj, LLC | Physical Therapist | 2200 Fletcher Ave Ste 505, Fort Lee, NJ 07024 | 2018-08-16 |
| 1194210138 | Hyunjoo Lee | Pharmacy | 168 Fletcher Ave, Fort Lee, NJ 07024 | 2018-06-22 |
| 1912423724 | Fort Lee Health Supplies | Durable Medical Equipment & Medical Supplies | 96 Linwood Plaza Rte 9 W, Fort Lee, NJ 07024 | 2017-08-15 |
| 1669997482 | Jinseok Woo | Acupuncturist | 6 Horizon Rd., Apt 2504, Fort Lee, NJ 07024 | 2017-08-14 |
| 1578083705 | Sheran Rey | Licensed Vocational Nurse | 6308 Hilltop Ct, Fort Lee, NJ 07024 | 2017-06-20 |
| 1558812909 | Jian Cui | Acupuncturist | 500 Linwood Drive Apt3c, Fort Lee, NJ 07024 | 2016-10-20 |
| 1013392919 | Yulong Yang | Internal Medicine | 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 | 2015-07-22 |
| 1235561796 | Anthony Lucev | Student in an Organized Health Care Education/Training Program | 233 Harmon Ave, Fort Lee, NJ 07024 | 2013-08-06 |
| 1811331598 | Bridgeview Rehabilitation and Medical Arts Center | Physical Medicine & Rehabilitation | 454 Main Street 3rd Floor, Fort Lee, NJ 07024 | 2013-04-24 |
| Find all providers in zip 07024 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720594898 | Mental Wellness Center LLC | Clinic/Center | 555 North Ave, Fort Lee, NJ 07024-2404 | 2017-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589017 | Healthcareserv Inc | Clinic/Center | 200 Middlesex Tpke Ste 102, Iselin, NJ 08830-2033 | 2020-08-18 |
| 1083225957 | Hopeful Hearts Therapy LLC | Clinic/Center | 100 Horizon Drive, 1st and 2nd Floors, Hamilton, NJ 08691 | 2020-08-13 |
| 1326656182 | The Calming Place | Clinic/Center | 30 Pelham Rd, Marlton, NJ 08053-2423 | 2020-07-17 |
| 1043828809 | Symbol of Hope Counseling, LLC | Clinic/Center | 400 Riverview Drive Suite 104, Suite 104, Brielle, NJ 08730-0873 | 2020-07-17 |
| 1013525971 | Jrm Psychological Services LLC | Clinic/Center | 330 Mounts Corner Dr # 211, Freehold, NJ 07728-2558 | 2020-07-16 |
| 1316565575 | Aspire Therapy Services LLC | Clinic/Center | 101 Hudson St Ste 2152, Jersey City, NJ 07302-3907 | 2020-07-13 |
| 1619595915 | Cean Mental Wellness Services LLC | Clinic/Center | 786 King George Rd Ste 2, Fords, NJ 08863-1981 | 2020-07-13 |
| 1982221479 | Ramona A Crofoot, LLC Dba Kaleidoscope Transformations Wellness Cent | Clinic/Center | 371 Lakehurst Rd, Toms River, NJ 08755-7393 | 2020-06-30 |
| 1104440080 | Flora Martins Degeorge | Clinic/Center | Center for Psychotherapy, 215 Ridgedale Av, Florham Park, NJ 07932-0793 | 2020-06-05 |
| 1407478498 | Clear Thoughts Healthcare LLC | Clinic/Center | 2386 Morris Avenue Manhattan Lighting Building, Suite 107-109, Union, NJ 07083-0884 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.