NPIMap

Organization Active NPI

Andreach & Paulsen Counseling Group

  • Clinical Social Worker
  • Point Pleasant Boro, NJ
National Provider Identifier
1003163452
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04571500 Issued in NJ
Legal business name
ANDREACH & PAULSEN COUNSELING GROUP
Practice address
2424 Bridge Ave
Suite 4
Point Pleasant Boro, NJ 08742-4335
Phone
(732) 903-7012
Fax
(732) 903-7135
NPI assigned
Aug 3, 2012
Last updated
Aug 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jason Michael Andreach, LCSWNPI 1740258193
Title
Clinical Therapist
Phone
(732) 701-9363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04571500 NJ Primary

Addresses

Primary practice location

2424 Bridge Ave
Suite 4
Point Pleasant Boro, NJ 08742-4335

Mailing address

2424 Bridge Ave
Suite 4
Point Pleasant Boro, NJ 08742-4335
Phone (732) 903-7012

National Provider Directory

National Provider Directory

Locations

2424 Bridge Ave
Ste 4
Point Pleasant Boro, NJ 08742
Phone (732) 903-7012

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1003163452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 BRIDGE AVE",
            "address_2": "SUITE 4",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424335",
            "telephone_number": "732-903-7012",
            "fax_number": "732-903-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 BRIDGE AVE",
            "address_2": "SUITE 4",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424335",
            "telephone_number": "732-903-7012",
            "fax_number": "732-903-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREACH & PAULSEN COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "ANDREACH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "732-701-9363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04571500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.