Active NPI
Mont'S Haven & Consulting
- Mental Health Counselor
- Irvington, NJ
National Provider Identifier
1023833803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MONT'S HAVEN & CONSULTING
- Practice address
- 132 Hillside Ter
Irvington, NJ 07111-1514 - Phone
- (973) 454-0552
- NPI assigned
- Nov 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Shaniqua Quanese Gayle, LCSW
- Title
- Clinician
- Phone
- (973) 454-0552
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
132 Hillside Ter
Irvington, NJ 07111-1514
Mailing address
132 Hillside Ter
Irvington, NJ 07111-1514
Phone (973) 454-0552
National Provider Directory
National Provider DirectoryPractitioners & 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": "1731888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733961600000",
"number": "1023833803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 HILLSIDE TER",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071111514",
"telephone_number": "973-454-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 HILLSIDE TER",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071111514",
"telephone_number": "973-454-0552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONT'S HAVEN & CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-18",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A",
"authorized_official_last_name": "GAYLE",
"authorized_official_first_name": "SHANIQUA",
"authorized_official_middle_name": "QUANESE",
"authorized_official_title_or_position": "CLINICIAN",
"authorized_official_telephone_number": "973-454-0552",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.