Organization Active NPI

Counseling and Wellness Institute

  • Cognitive & Behavioral Psychologist
  • Hoboken, NJ
National Provider Identifier
1023522588
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
COUNSELING AND WELLNESS INSTITUTE
Practice address
450 7TH St.
LL5
Hoboken, NJ 07030
Phone
(866) 369-1090
Fax
(866) 369-2140
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Peter J Economou, PHDNPI 1578883146
Title
Director, Ceo
Phone
(866) 369-1090

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X
Cognitive & Behavioral PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TB0200X Primary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X
Exercise & Sports PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TE1100X

Addresses

Primary practice location

450 7TH St.
LL5
Hoboken, NJ 07030

Mailing address

450 7TH St Ste LL5
Hoboken, NJ 07030-2079
Phone (866) 369-1090

Other practice location 1

11 Dundar Rd
Springfield, NJ 07081-3553
Phone (866) 369-1090

Other identifiers 1

IdentifierTypeStateIssuer
1578883146MedicaidNJ

National Provider Directory

National Provider Directory

Locations

450 7th St
Ste LL5
Hoboken, NJ 07030
Phone (201) 284-0350

Practitioners & affiliated clinicians

Practitioners 4

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": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1023522588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 7TH ST STE LL5",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302079",
            "telephone_number": "866-369-1090",
            "fax_number": "866-369-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 7TH ST.",
            "address_2": "LL5",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "07030",
            "telephone_number": "866-369-1090",
            "fax_number": "866-369-2140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Dundar Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "NJ",
            "postal_code": "070813553",
            "country_code": "US",
            "telephone_number": "866-369-1090",
            "fax_number": "866-369-2140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING AND WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ECONOMOU",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR, CEO",
        "authorized_official_telephone_number": "866-369-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578883146",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.