LIFE CHANGING CHRISTIAN COUNSELING (NPI# 1407265705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407265705 |
| Entity Type | Organization |
| Organization Name | LIFE CHANGING CHRISTIAN COUNSELING |
| Practice Address |
721 Route 34 Fl 2 Matawan NJ 07747-6612 |
| Mailing Address |
721 Route 34 2nd Fl Matawan NJ 07747 |
| Practice Telephone | 7328584030 |
| Mailing Telephone | 7328584030 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |
| Authorized Official Name | LOIS GROSVENOR (PRESIDENT) |
| Authorized Official Telephone | 7329396396 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
721 ROUTE 34 FL 2 |
| City | MATAWAN |
| State | NJ |
| Zip Code | 07747-6612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730169 | Therapy Enlightens, LLC | Counselor | 811 Sloan Court, Matawan, NJ 07747 | 2019-09-26 |
| 1831748045 | Adam Fan | Physical Therapist | 1016 Hwy 34 Matawan, Building 9, Matawan, NJ 07747 | 2019-09-10 |
| 1255819843 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St., Apt. 110, Aberdeen, NJ 07747 | 2018-08-06 |
| 1023547775 | Claire Casey | Counselor | 166 Main Strreet, Matawan, NJ 07747 | 2017-06-07 |
| 1174975361 | Danielle Barakat | Behavioral Analyst | 2 Mill Rd, Apt 2, Matawan, NJ 07747 | 2016-07-12 |
| 1275982019 | Angel Cardenas | Social Worker | 1208 Route 34 Tower 2 Suite 20, Aberdeen, NJ 07747 | 2016-06-10 |
| 1891175931 | Gabriella Taube | Dentist | 1130 Nj-34, Aberdeen Township, NJ 07747 | 2015-06-03 |
| 1639423874 | Bayshore Ems, Inc | Ambulance | 260 Church Street, Aberdeen, NJ 07747 | 2012-11-08 |
| 1689959462 | Michael Ruggiero | Counselor | 104 Wellington Place, Aberdeen, NJ 07747 | 2011-10-12 |
| 1619258407 | Maressa Nordstrom | Counselor | 196 Main St Ste 103, Matawan, NJ 07747 | 2011-09-07 |
| Find all providers in zip 07747 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023547775 | Claire Casey | Counselor | 166 Main Strreet, Matawan, NJ 07747 | 2017-06-07 |
| 1063877686 | Loverton Fidel | Counselor | 169 Main St Ste 2, Matawan, NJ 07747-4105 | 2015-12-24 |
| 1922303841 | Jessica O'gara -mankowski | Counselor | 4122 Highway 516, Matawan, NJ 07747-7031 | 2011-01-25 |
| 1245865138 | Jeffrey Singh | Counselor | 166 Main St, Matawan, NJ 07747-3104 | 2020-03-11 |
| 1336799238 | Christine Virginia Groelly | Counselor | 166 Main St, Matawan, NJ 07747-3104 | 2019-09-13 |
| 1730738907 | Kathryn Jo Gorga | Counselor | 166 Main St, Matawan, NJ 07747-3104 | 2019-09-10 |
| 1629625033 | Lyndsey Lecomte | Counselor | 166 Main St, Matawan, NJ 07747-3104 | 2019-08-20 |
| 1619537420 | Carlee Frew | Counselor | 166 Main St, Matawan, NJ 07747-3104 | 2019-06-14 |
| 1306405121 | Travis Fragale | Counselor | 166 Main St, Matawan, NJ 07747-3104 | 2019-06-06 |
| 1487116802 | Taja Lanisse Conover | Counselor | 166 Main St, Matawan, NJ 07747-3104 | 2019-04-03 |
| Find all providers in MATAWAN | ||||
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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.