Provider Demographics
NPI:1912767989
Name:NJ COUNSELING CENTER
Entity Type:Organization
Organization Name:NJ COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:VALENTINA
Authorized Official - Last Name:NUNEZ-CASTORO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-726-0023
Mailing Address - Street 1:322 US HIGHWAY 46
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2352
Mailing Address - Country:US
Mailing Address - Phone:201-726-0023
Mailing Address - Fax:
Practice Address - Street 1:322 ROUTE 46 STE 140W
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2361
Practice Address - Country:US
Practice Address - Phone:201-669-4674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1235477704OtherCMS