Organization Active NPI

Emerge- the Counseling and Coaching Center

  • Adult Mental Health Clinic/Center
  • Ridgewood, NJ
National Provider Identifier
1013568575
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
EMERGE- THE COUNSELING AND COACHING CENTER
Practice address
162 E Ridgewood Ave Ste 2
Ridgewood, NJ 07450-3846
Phone
(517) 750-5755
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Tanvi Mathew, LPCNPI 1740608785
Title
Clinical Director/ Therapist
Phone
(201) 953-0819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

162 E Ridgewood Ave Ste 2
Ridgewood, NJ 07450-3846

Mailing address

42 2ND Ave
Hawthorne, NJ 07506-2408

National Provider Directory

National Provider Directory

Locations

162 E Ridgewood Ave
Ste 2
Ridgewood, NJ 07450
Phone (201) 490-4075

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": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1013568575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 2ND AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E RIDGEWOOD AVE STE 2",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503846",
            "telephone_number": "517-750-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE- THE COUNSELING AND COACHING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "TANVI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/ THERAPIST",
        "authorized_official_telephone_number": "201-953-0819",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.