TIMBUK2 ACADEMY LLC (NPI# 1740801158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740801158 |
| Entity Type | Organization |
| Organization Name | TIMBUK2 ACADEMY LLC |
| Practice Address |
712 Stuyvesant Ave Trenton NJ 08618-4106 |
| Mailing Address |
Po Box 77047 Ewing NJ 08628-6047 |
| Practice Telephone | 6094312549 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | AYANA ABDULRAHEEM (CEO) |
| Authorized Official Telephone | 6094312549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
712 STUYVESANT AVE |
| City | TRENTON |
| State | NJ |
| Zip Code | 08618-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457993 | Capitals Pizzeria | Meals | 211 Reverend Howard S. Woodson Way, Trenton, NJ 08618 | 2020-01-30 |
| 1760049738 | Stem Civics, Inc. | Local Education Agency (LEA) | 1555 Pennington Road, Ewing, NJ 08618 | 2019-05-24 |
| 1790255941 | Susan Heather Lake | Nurse Practitioner | 1618 Riverside Drive, Trenton, NJ 08618 | 2018-11-30 |
| 1497138705 | Jennifer Warren | Community Health Worker | 32 Newell Ave, Trenton, NJ 08618 | 2015-07-06 |
| 1447665500 | Avinique Marshall | Community Health Worker | 23 Van Duyn Dr, Ewing, NJ 08618 | 2014-06-27 |
| 1891116646 | Ameen Hasan Abdullah | Counselor | 132 Perry St., Trenton, NJ 08618 | 2013-12-20 |
| 1083042782 | Odelind King Lewis | Social Worker | 321 North Warren Street, Trenton, NJ 08618 | 2013-10-16 |
| 1346595089 | Essential Foot Care PC | Clinic/Center | 1440 Pennington Road, Ewing, NJ 08618 | 2012-07-18 |
| 1245543453 | Beverly M Gibson | Counselor | 68 Dunmore Avneue, Ewing, NJ 08618 | 2010-07-16 |
| 1386878353 | James C Wadley | Community/Behavioral Health | 312 Masterson Court, Ewing, NJ 08618 | 2009-05-06 |
| Find all providers in zip 08618 | ||||
| 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 |
|---|---|---|---|---|
| 1871136598 | Ariel Alexis Nardini | Counselor | 2135 Nj-33, Trenton, NJ 08690 | 2019-10-25 |
| 1477062750 | Susan Lombardo | Counselor | 257 Elmore Ave, Trenton, NJ 08619-2513 | 2017-09-29 |
| 1265950810 | Leesha London | Counselor | 728 Ne 7th Street, Trenton, FL 32693 | 2017-09-05 |
| 1063955029 | Kimberly C Warne | Counselor | 3535 Quakerbridge Rd Ste 300, Trenton, NJ 08619-1200 | 2016-11-23 |
| 1306236179 | Genesis P.a.c.e.s. LLP | Counselor | 826 W State St, Suite A., Trenton, NJ 08618-5350 | 2015-01-30 |
| 1861684185 | Youth Education and Transition Services | Counselor | 702 Brunswick Ave, Trenton, NJ 08638 | 2007-08-10 |
| 1528194362 | Jenny Jeanlouis | Counselor | 1 Centre St, Trenton, NJ 08611-2101 | 2007-02-26 |
| 1285728436 | Charles Christopher Connelly | Counselor | 55 N Clinton Ave, Trenton, NJ 08609-1011 | 2006-10-03 |
| 1972110161 | Restoring Peaces, LLC | Counselor | 910 Bellevue Ave, Trenton, NJ 08618-4450 | 2020-09-30 |
| 1548877418 | Tracy R Bell | Counselor | 728 Ne 7th St, Trenton, FL 32693-3637 | 2020-09-25 |
| Find all providers in TRENTON | ||||
Please comment or provide details below to improve the information on TIMBUK2 ACADEMY LLC.
| 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.