Organization Active NPI

Life Counseling and Healing, LLC

  • Community/Behavioral Health Agency
  • Newark, NJ
National Provider Identifier
1063164796
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFE COUNSELING AND HEALING, LLC
Doing business as
Life Counseling and Healing Center
Practice address
1 Crescent CT
Newark, NJ 07106-3704
Phone
(201) 455-4323
Fax
(973) 629-1350
NPI assigned
Jan 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Terri Ann JacksonNPI 1912403106
Title
Sole Ownerltherapist
Phone
(201) 455-4323

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1 Crescent CT
Newark, NJ 07106-3704

Mailing address

1 Crescent CT
Newark, NJ 07106-3704
Phone (201) 455-4323

Other names 1

  • Life Counseling and Healing Center Doing business as

National Provider Directory

National Provider Directory

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": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1063164796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CRESCENT CT",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063704",
            "telephone_number": "201-455-4323",
            "fax_number": "973-629-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRESCENT CT",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063704",
            "telephone_number": "201-455-4323",
            "fax_number": "973-629-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COUNSELING AND HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE OWNERLTHERAPIST",
        "authorized_official_telephone_number": "201-455-4323"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Counseling and Healing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Counseling and Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.