YOUTH CONSULTATION SERVICE INC (NPI# 1962882241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962882241 |
| Entity Type | Organization |
| Organization Name | YOUTH CONSULTATION SERVICE INC |
| Practice Address |
2a Forest Ave West Orange NJ 07052-2912 |
| Mailing Address |
284 Broadway Newark NJ 07104-4003 |
| Practice Telephone | 9734828411 |
| Mailing Telephone | 9734828411 |
| Mailing Fax Number | 9734822907 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |
| Authorized Official Name | MR. RICHARD MINGOIA (PRESIDENT CEO) |
| Authorized Official Telephone | 9734828411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | GH2129 | NJ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
| 1871097030 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Walnut Street, Northvale, NJ 07647 | 2018-03-22 |
| 1841794195 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 55 Greenbrook Rd, Middlesex, NJ 08846-1319 | 2018-03-21 |
| 1134670623 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1153 E Laurelton Pkwy, Teaneck, NJ 07666-2766 | 2016-10-19 |
| 1235590803 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Pamela Dr, Randolph, NJ 07869-3903 | 2016-03-10 |
| 1386005957 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Hill Top Dr, Princeton, NJ 08540-1301 | 2016-03-10 |
| 1316308000 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2345 Vine Rd, Vineland, NJ 08361-2517 | 2016-03-09 |
| 1881055580 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 187 Morris Ave, Denville, NJ 07834-1736 | 2016-03-09 |
| 1831564434 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11arcadia Drive, Winslow, NJ 08095 | 2015-12-08 |
| 1275913261 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33-35 Thomas St, Paterson, NJ 07503-2353 | 2015-06-04 |
| Street Address |
2A FOREST AVE |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090581 | Metro East Community Care, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Main St Ste 206b, West Orange, NJ 07052-5333 | 2019-08-30 |
| 1083125967 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 123 Gregory Ave, West Orange, NJ 07052-4740 | 2017-10-18 |
| 1447761325 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15 Normandy Ter, West Orange, NJ 07052-2716 | 2017-10-18 |
| 1306357314 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Devon Dr, West Orange, NJ 07052-3732 | 2017-10-17 |
| 1801314513 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 23 Oak Ave, West Orange, NJ 07052-2409 | 2017-09-01 |
| 1538687397 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 525 Pleasant Valley Way, West Orange, NJ 07052-2803 | 2017-08-31 |
| 1982124749 | Arc of Essex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Marmon Ter Apt 2, West Orange, NJ 07052-2220 | 2017-06-22 |
| 1508396201 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Lessing Rd, West Orange, NJ 07052-3112 | 2017-06-14 |
| 1063892842 | The Arc of Essex County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 177 Marion Dr, West Orange, NJ 07052-3316 | 2015-06-05 |
| 1154701936 | The Arc of Essex County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Terrace Ave, West Orange, NJ 07052-3603 | 2015-06-05 |
| Find all providers in WEST ORANGE | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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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.