Southern Shore Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

37AC00156700 Issued in NJ

Legal business name

SOUTHERN SHORE COUNSELING LLC

Practice address

9 N Main St
Manahawkin, NJ 08050-2929

Phone

(609) 597-0084

NPI assigned

Apr 8, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Vivian Lombardo, LAC

Title

Licensed Therapist

Phone

(609) 597-0084

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Jane Green, L.C.S.W.

  • Clinical Social Worker
  • Manahawkin, NJ
  • NPI 1568507648
  NPD (past)

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1063808970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N MAIN ST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502929",
            "telephone_number": "609-597-0084",
            "fax_number": "609-597-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N MAIN ST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502929",
            "telephone_number": "609-597-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SHORE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "609-597-0084",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37AC00156700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Ocean Speciality Physicians
• Southern Ocean Specialty Physicians, P.C.
• Southern Ocean Speech Therapy
• Southern Ocean Womens Health
• Southern Regional School District
• Southern Shores Eye Center, P.a.
• Cynthia L Spallina, PTA
• Darra Lynn Stack, LCSW
• Haley Lynn Stack, PT, DPT
• Stafford Convalescent Center, Inc

• Community/Behavioral Health Agency in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.