Organization Active NPI

Bergen Counseling Collaborative

  • Mental Health Counselor
  • North Haledon, NJ
National Provider Identifier
1043056229
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BERGEN COUNSELING COLLABORATIVE
Practice address
546 High Mountain Rd Ste 1
North Haledon, NJ 07508-2606
Phone
(551) 579-4103
NPI assigned
Jul 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Lara Librie, LPCNPI 1932608528
Title
Owner
Phone
(551) 265-6427

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

546 High Mountain Rd Ste 1
North Haledon, NJ 07508-2606

Mailing address

546 High Mountain Rd Ste 1
North Haledon, NJ 07508-2606

National Provider Directory

National Provider Directory

Locations

546 High Mountain Rd
Ste 1
North Haledon, NJ 07508
Phone (551) 579-4103

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": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1043056229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 HIGH MOUNTAIN RD STE 1",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 HIGH MOUNTAIN RD STE 1",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082606",
            "telephone_number": "551-579-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN COUNSELING COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-07",
        "status": "A",
        "authorized_official_last_name": "LIBRIE",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-265-6427",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haledon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.