CREATIVE LIVING COUNSELING CENTER (NPI# 1942499017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942499017 |
| Entity Type | Organization |
| Organization Name | CREATIVE LIVING COUNSELING CENTER |
| Practice Address |
37 E Allendale Ave Allendale NJ 07401-2095 |
| Mailing Address |
172 Rivington St Apt. # 9 New York NY 10002-2513 |
| Practice Telephone | 2013272424 |
| Mailing Telephone | 2125330755 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | DR. GRETCHEN WHITE JANSSEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2013272424 |
| Authorized Official Credential | DMIN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
37 E ALLENDALE AVE |
| City | ALLENDALE |
| State | NJ |
| Zip Code | 07401-2095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932176179 | Marcia Wyrtzen | Social Worker | 37 E Allendale Ave, Allendale, NJ 07401-2095 | 2006-03-07 |
| 1447415997 | Lindsay Kokinen | Social Worker | 37 E Allendale Ave, Allendale, NJ 07401-2095 | 2008-07-24 |
| 1144430968 | Dong Seok Han | Counselor | 37 E Allendale Ave, Allendale, NJ 07401-2095 | 2007-05-23 |
| 1891903076 | Penny Lyn Gadzini | Counselor | 37 E Allendale Ave, Allendale, NJ 07401-2095 | 2007-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134603343 | Ediltruda N Kalikawe | Counselor | 400 Crescent Court, Allendale, NJ 07401 | 2018-09-24 |
| 1114356250 | Madalina Cornelia Mares | Physical Therapist | 49 W Allendale Ave, Allendale, NJ 07401 | 2013-11-08 |
| 1992942155 | Matthew A. Rocco | Dentist | 70 W Allendale Avenue, Allendale, NJ 07401 | 2009-01-09 |
| 1366564601 | Mary Ellen M Stiehl | Counselor | 175 E Crescent Ave, Allendale, NJ 07401 | 2007-04-06 |
| 1851431530 | Lore Denver Basil | Social Worker | 33 W Orchard St, Allendale, NJ 07401 | 2007-02-08 |
| 1790823961 | Theodore A Campbell Jr. | Chiropractor | 1 Demercurio Drive, Suite #8, Allendale, NJ 07401 | 2007-02-01 |
| 1699830190 | F James Obosky Sr. | Dentist | 70 West Allendale Av, Suite C, Allendale, NJ 07401 | 2006-12-26 |
| 1457455883 | Jill E Sieverts | Marriage & Family Therapist | 70 West Allendale Avenue, Suite A, Allendale, NJ 07401 | 2006-09-07 |
| 1962427526 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 45 Demercurio Drive, Allendale, NJ 07401 | 2006-07-13 |
| 1265809370 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 45 Demercurio Drive, Allendale, NJ 07401 | 2015-08-24 |
| Find all providers in zip 07401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295039717 | Inspiring Growth Counseling Services | Community/Behavioral Health | 279-b Hickory Street, Allendale, SC 29810-1080 | 2010-12-23 |
| 1740533157 | Sc Department of Juvenile Justice | Community/Behavioral Health | 611 Mulberry St, Allendale, SC 29810-3746 | 2012-10-23 |
| 1689922825 | Heart's Journey Wellness Center | Community/Behavioral Health | 6189 Lake Michigan Dr, Allendale, MI 49401-9244 | 2012-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487162 | Tender Care | Community/Behavioral Health | 2 Independence Way, Apt. 102, Florham Park, NJ 07932 | 2020-11-03 |
| 1699374009 | Apluscare, LLC | Community/Behavioral Health | 98 Stratton St S, Piscataway, NJ 08854-3641 | 2020-10-19 |
| 1326647736 | Apluscare, LLC | Community/Behavioral Health | 1419 W Camplain Rd, Manville, NJ 08835-1647 | 2020-10-19 |
| 1821603986 | New Life New Hope | Community/Behavioral Health | 31 S Browning Ave # A, Somerdale, NJ 08083-1109 | 2020-09-14 |
| 1154933208 | Tajlearning Resource Corp | Community/Behavioral Health | 172 Minetta Rd, Somerset, NJ 08873-3709 | 2020-08-20 |
| 1528670619 | North Jersey Friendship House Inc | Community/Behavioral Health | 45 Urban Club Rd, Wayne, NJ 07470-2000 | 2020-08-19 |
| 1447862875 | Ymca of Greater Monmouth County | Community/Behavioral Health | 485 Adelphia Rd, Freehold, NJ 07728-8815 | 2020-08-18 |
| 1639781065 | Ymca of Greater Monmouth County | Community/Behavioral Health | 613 Hope Rd Bldg 42, Eatontown, NJ 07724-1278 | 2020-08-18 |
| 1487266839 | Shore Integrated Counseling LLC | Community/Behavioral Health | 1010 State Route 71 Ste 2a, Spring Lake, NJ 07762-3223 | 2020-08-18 |
| 1295347870 | Next Wind LLC | Community/Behavioral Health | 75 Grand Ave Ste 101, Englewood, NJ 07631-3522 | 2020-08-17 |
| 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.