Active NPI
Adisa Alghali, LPC
- Professional Counselor
- Bloomfield, NJ
National Provider Identifier
1063870384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00514200
- Practice address
- 1018 Broad St Ste 6
Bloomfield, NJ 07003-2884 - Phone
- (862) 930-5700
- NPI assigned
- Feb 1, 2016
- Last updated
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00514200 | NJ | Primary |
Addresses
Primary practice location
1018 Broad St Ste 6
Bloomfield, NJ 07003-2884
Mailing address
86 S Harrison St
East Orange, NJ 07018-1748
Phone (973) 324-7879
Other practice location 1
86 S Harrison St
East Orange, NJ 07018-1748
Phone (973) 324-7879 ext. 226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00514200 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amari Behavioral Health | Current | Accepting new patients | |
| Time to Heal | Professional | Past | Accepting new patients |
| Allwood Behavioral Health | Professional | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Newark, NJ
- NPI 1982195400
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clifton, NJ
- NPI 1851066682
Professional
-
dba Time to Heal Counseling
- Multi-Specialty Clinic/Center
- Clifton, NJ
- NPI 1659923431
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1063870384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 S HARRISON ST",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181748",
"telephone_number": "973-324-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 BROAD ST STE 6",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032884",
"telephone_number": "862-930-5700"
}
],
"practiceLocations": [
{
"address_1": "86 S Harrison St",
"address_purpose": "LOCATION",
"city": "East Orange",
"state": "NJ",
"postal_code": "070181748",
"country_code": "US",
"telephone_number": "973-324-7879 x226",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALGHALI",
"first_name": "ADISA",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00514200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.