Take These Broken Pieces Counseling & Consultation Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TAKE THESE BROKEN PIECES COUNSELING & CONSULTATION SERVICES, LLC

Practice address

33 Fisher Dr
Franklin Park, NJ 08823-1345

Phone

(973) 975-7120

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By 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

Chalyce Glover, LPCNPI 1174175582

Title

Licensed Professional Counselor

Phone

(973) 833-1422

Specialties & licenses 1

Addresses

Locations

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.

• Chalyce Glover, LPC

  • Professional Counselor
  • Maplewood, NJ
  • NPI 1174175582
  NPD Authorized official

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1023856556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 STATE ROUTE 27",
            "address_2": "UNIT 6, STE 109",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241667",
            "telephone_number": "973-833-1422",
            "fax_number": "973-355-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 FISHER DR",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088231345",
            "telephone_number": "973-975-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE THESE BROKEN PIECES COUNSELING & CONSULTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "CHALYCE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "973-833-1422",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_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 Jul 18, 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.

Verify at the official NPI Registry.