Diverse Support Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DIVERSE SUPPORT COUNSELING, LLC

Practice address

3 High St
South River, NJ 08882-1554

Phone

(856) 473-5105

Fax

(732) 865-7283

NPI assigned

Apr 6, 2022

Last updated

Apr 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Barks, LPCNPI 1932722824

Title

President

Phone

(856) 473-5105

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Sarah Marie Barks, LPC

  • Counselor
  • Hackensack, NJ
  • NPI 1932722824
  NPD Authorized official

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1013658608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HIGH ST",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088821554",
            "telephone_number": "856-473-5105",
            "fax_number": "732-865-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HIGH ST",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088821554",
            "telephone_number": "856-473-5105",
            "fax_number": "732-865-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE SUPPORT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "BARKS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-473-5105",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in South River, NJ
• Providers in South River, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.