ESTHER LEGACY COUNSELING CENTER, LLC (NPI# 1609380013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609380013 |
| Entity Type | Organization |
| Organization Name | ESTHER LEGACY COUNSELING CENTER, LLC |
| Practice Address |
121 Cedar Ln Teaneck NJ 07666-4457 |
| Mailing Address |
39 E 9th St Clifton NJ 07011-1107 |
| Practice Telephone | 2014295081 |
| Mailing Telephone | 2015628931 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | YOHANNY C VALDERRAMA (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 2015628931 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
NJ | Behavioral Health & Social Service Providers | |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
44SC05657400 | NJ | Ambulatory Health Care Facilities |
| Street Address |
121 CEDAR LN |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058775 | Laura H Bloom | Counselor | 121 Cedar Ln, Teaneck, NJ 07666-4457 | 2005-07-28 |
| 1760041255 | Mental Health Institute of New Jersey | Counselor | 121 Cedar Ln, Teaneck, NJ 07666-4457 | 2019-06-10 |
| 1942740733 | Tami-beth Danzig | Social Worker | 121 Cedar Ln, Suite 2d, Teaneck, NJ 07666-4457 | 2017-02-28 |
| 1518416361 | Diana De Jesus | Social Worker | 121 Cedar Ln, Teaneck, NJ 07666-4457 | 2016-09-21 |
| 1346796497 | Greg R Ieraci | Counselor | 121 Cedar Ln, Suite 3-a, Teaneck, NJ 07666-4457 | 2016-08-29 |
| 1801341037 | Andrea Egert | Social Worker | 121 Cedar Ln, Teaneck, NJ 07666-4457 | 2016-08-17 |
| 1336591783 | Eve Yudelson LLC | Social Worker | 121 Cedar Ln, Suite 3a, Teaneck, NJ 07666-4457 | 2016-07-11 |
| 1134581457 | Mental Health Matters, LLC | Counselor | 121 Cedar Ln, Suite 3-a, Teaneck, NJ 07666-4457 | 2016-03-25 |
| 1245698182 | Eve Yudelson | Social Worker | 121 Cedar Ln, Suite 3a, Teaneck, NJ 07666-4457 | 2016-02-06 |
| 1770927816 | Fathy Sharaf Abdalla | Psychoanalyst | 121 Cedar Ln, Suite 3-b, Teaneck, NJ 07666-4457 | 2013-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104385327 | Christian Davis, Phd, LLC | Clinic/Center | 179 Cedar Ln Ste C, Teaneck, NJ 07666-4304 | 2019-03-18 |
| 1154787281 | Story of Life Therapy LLC | Clinic/Center | 572 Cumberland Ave, Teaneck, NJ 07666-2651 | 2016-01-05 |
| 1639692056 | Amos Center for Wellness and Recovery | Clinic/Center | 773 Teaneck Rd, Teaneck, NJ 07666-4846 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443650 | Quantum Behavioral Health Services LLC | Clinic/Center | 144 Mill St, Toms River, NJ 08757-5156 | 2020-10-08 |
| 1811515042 | Michelle Kerekes Lpc | Clinic/Center | 623 River Rd Ste 1, Fair Haven, NJ 07704-3267 | 2020-07-14 |
| 1962025601 | E Keeney LLC | Clinic/Center | 43 Lakeview Dr, West Milford, NJ 07480-4279 | 2020-05-28 |
| 1407470149 | Schnabolk Lcsw | Clinic/Center | 385 State Route 24 Ste 3m, Chester, NJ 07930-2910 | 2020-05-28 |
| 1871114413 | Odyssey Mental Health and Addiction Center, LLC | Clinic/Center | 35 Journal Sq Ste 629d, Jersey City, NJ 07306-4029 | 2020-05-06 |
| 1992331102 | Nancy Difrancesco LLC | Clinic/Center | 6 White Horse Pike Ste 2a, Haddon Heights, NJ 08035-1246 | 2020-03-19 |
| 1497393789 | Harmony Wellness Counseling Center | Clinic/Center | 190 Nassau St, Princeton, NJ 08542-7012 | 2019-12-17 |
| 1649825944 | Green Oak Professional Health Services | Clinic/Center | 120 Millburn Ave Ste 201, Millburn, NJ 07041-1935 | 2019-08-05 |
| 1083276836 | Hopefull Therapy and Consulting LLC | Clinic/Center | 145 Witherspoon St Ste A4, Princeton, NJ 08542-3228 | 2019-07-02 |
| 1295297372 | Paper and Pencil Bookkeeping | Clinic/Center | 3 Warren Dr, Morristown, NJ 07960-4712 | 2019-04-05 |
| 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.