NPIMap

Organization Active NPI

Lakewood Community Services Corp

  • Mental Health Counselor
  • Lakewood, NJ
National Provider Identifier
1013785856
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LAKEWOOD COMMUNITY SERVICES CORP
Practice address
1640 W County Line Rd
Lakewood, NJ 08701-1167
Phone
(732) 901-6001
NPI assigned
Dec 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
C. Gershbaum
Title
Billing Manager
Phone
(732) 901-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1640 W County Line Rd
Lakewood, NJ 08701-1167

Mailing address

450 W Kennedy Blvd
Lakewood, NJ 08701-1269
Phone (732) 901-6001

National Provider Directory

National Provider Directory
Tax ID family
Lakewood Community Services Corp32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1013785856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011269",
            "telephone_number": "732-901-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W COUNTY LINE RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011167",
            "telephone_number": "732-901-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD COMMUNITY SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "GERSHBAUM",
        "authorized_official_first_name": "C.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "732-901-6001"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.