NPIMap

Organization Active NPI

Power House Psychotherapy & Addiction, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Newark, NJ
National Provider Identifier
1003330846
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00242600
Legal business name
POWER HOUSE PSYCHOTHERAPY & ADDICTION, LLC
Practice address
654 Mount Prospect Ave Ste 201
Newark, NJ 07104-3110
Phone
(862) 888-8146
NPI assigned
Aug 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2019

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

Authorized official

Name
Temitope Shakirat Coates, LCSW, LCADC, CCS
Title
Executive Director/Administrator
Phone
(973) 878-3900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 37LC00242600 Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC05667800 NJ

Addresses

Primary practice location

654 Mount Prospect Ave Ste 201
Newark, NJ 07104-3110

Mailing address

654 Mount Prospect Ave Ste 201
Newark, NJ 07104-3110
Phone (973) 878-3900

National Provider Directory

National Provider Directory
Tax ID family
Power House Psychotherapy Addiction LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

654 Mount Prospect Ave
Ste 201
Newark, NJ 07104
Phone (862) 600-0536

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563667200000",
    "number": "1003330846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 MOUNT PROSPECT AVE STE 201",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043110",
            "telephone_number": "973-878-3900",
            "fax_number": "973-878-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 MOUNT PROSPECT AVE STE 201",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043110",
            "telephone_number": "862-888-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER HOUSE PSYCHOTHERAPY & ADDICTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2019-07-21",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "TEMITOPE",
        "authorized_official_middle_name": "SHAKIRAT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "973-878-3900",
        "authorized_official_credential": "LCSW, LCADC, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "37LC00242600",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05667800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; 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.