Organization Active NPI

Bergen Aware Assessment & Counseling

  • Community/Behavioral Health Agency
  • Hackensack, NJ
National Provider Identifier
1053590513
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37LC00038700 Issued in NJ
Legal business name
BERGEN AWARE ASSESSMENT & COUNSELING
Practice address
235 Main St
Suite 102
Hackensack, NJ 07601-7313
Phone
(201) 686-4992
NPI assigned
Oct 31, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Mr. John A Monaghan, MSW,LCSW,LCADC,CASAC
Title
Therapist ( Business Owner )
Phone
(201) 686-4992

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 44SC04950400 NJ
Community/Behavioral Health Agency 251S00000X 37LC00038700 NJ Primary

Addresses

Primary practice location

235 Main St
Suite 102
Hackensack, NJ 07601-7313

Mailing address

235 Main St
Suite 102
Hackensack, NJ 07601-7313
Phone (201) 686-4992

National Provider Directory

National Provider Directory

Locations

235 Main St
Ste 102
Hackensack, NJ 07601
Phone (201) 686-4992

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1053590513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAIN ST",
            "address_2": "SUITE 102",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017313",
            "telephone_number": "201-686-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAIN ST",
            "address_2": "SUITE 102",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017313",
            "telephone_number": "201-686-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN AWARE ASSESSMENT & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "MONAGHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST ( BUSINESS OWNER )",
        "authorized_official_telephone_number": "201-686-4992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW,LCSW,LCADC,CASAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "44SC04950400",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37LC00038700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.