Organization Active NPI

Crescent Counseling Psychotherapy Services, LLC

  • Clinical Social Worker
  • Sussex, NJ
National Provider Identifier
1033948260
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CRESCENT COUNSELING PSYCHOTHERAPY SERVICES, LLC
Practice address
56 E Main St
Sussex, NJ 07461-2159
Phone
(973) 657-6522
NPI assigned
Jul 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Authorized official

Name
Mrs. Laura Pinter, LCSWNPI 1922436344
Title
Owner
Phone
(732) 492-5128

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

56 E Main St
Sussex, NJ 07461-2159

Mailing address

199 Liberty Corners Rd
Pine Island, NY 10969-1618
Phone (732) 492-5128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250404002501 NJ Part B Supplier - Clinic/Group Practice 9133643794 Receives reassigned benefits from 1 practitioner
Practice locations: Sussex, NJ

National Provider Directory

National Provider Directory

Locations

56 E Main St
Ste 2
Sussex, NJ 07461
Phone (973) 657-6652

56 E Main St
Sussex, NJ 07461
Phone (732) 492-5128

Practitioners & 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": "1722038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1033948260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 LIBERTY CORNERS RD",
            "city": "PINE ISLAND",
            "state": "NY",
            "postal_code": "109691618",
            "telephone_number": "732-492-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 E MAIN ST",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074612159",
            "telephone_number": "973-657-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT COUNSELING PSYCHOTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "PINTER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-492-5128",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.