NPIMap

Organization Active NPI

Innerspace Counseling, LLC

  • Community/Behavioral Health Agency
  • Old Bridge, NJ
National Provider Identifier
1043620321
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INNERSPACE COUNSELING, LLC
Practice address
2433 Route 516
Suite D
Old Bridge, NJ 08857-1899
Phone
(732) 332-8270
Fax
(732) 862-1146
NPI assigned
May 7, 2014
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Miss Ajita Mohan
Title
Cheif Executive Officer
Phone
(908) 448-9282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2433 Route 516
Suite D
Old Bridge, NJ 08857-1899

Mailing address

2433 Route 516
Suite D
Old Bridge, NJ 08857-1899
Phone (732) 332-8270

National Provider Directory

National Provider Directory

Locations

2433 Route 516
Ste D
Old Bridge, NJ 08857
Phone (732) 332-8270

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1043620321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 ROUTE 516",
            "address_2": "SUITE D",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571899",
            "telephone_number": "732-332-8270",
            "fax_number": "732-862-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 ROUTE 516",
            "address_2": "SUITE D",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571899",
            "telephone_number": "732-332-8270",
            "fax_number": "732-862-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERSPACE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "AJITA",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "908-448-9282",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.