Behavioral Health Services of New Jersey, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BEHAVIORAL HEALTH SERVICES OF NEW JERSEY, LLC

Practice address

1 Crabapple LN
Franklin Park, NJ 08823-1406

Phone

(908) 463-9665

NPI assigned

Jun 17, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Stacey Ann Staback, LPCNPI 1659625044

Title

Owner/Manager

Phone

(908) 463-9665

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.

• Stacey Staback, LPC

  • Professional Counselor
  • Piscataway, NJ
  • NPI 1659625044
  NPD (past) Authorized official

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377302400000",
    "number": "1023457645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KNIGHTSBRIDGE RD",
            "address_2": "SUITE 525",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543948",
            "telephone_number": "908-463-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRABAPPLE LN",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088231406",
            "telephone_number": "908-463-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SERVICES OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-08-24",
        "status": "A",
        "authorized_official_last_name": "STABACK",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "908-463-9665",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Franklin Park, NJ
• Providers in Franklin Park, 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 Aug 24, 2013; 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.