CP Counseling Services, LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

37PC00459900 Issued in NJ

Legal business name

CP COUNSELING SERVICES, LLC

Practice address

19 Winona Ave
Lincoln Park, NJ 07035-1711

Phone

(973) 449-7260

NPI assigned

Dec 1, 2014

Organization subpart

No

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

Authorized official

Name

Nadine JordanNPI 1477976124

Title

LPC/Owner

Phone

(973) 449-7260

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nadine Jordan, LPC

  • Professional Counselor
  • Lincoln Park, NJ
  • NPI 1477976124
  NPD (past) Authorized official

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1063819449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WINONA AVE",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WINONA AVE",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351711",
            "telephone_number": "973-449-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CP COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "973-449-7260"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NJ",
            "license": "37PC00459900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Lincoln Park, NJ
• Providers in Lincoln Park, NJ by specialty
• PACE Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.