Organization Active NPI

Ocean Counseling & Family Center, PA

  • Clinical Social Worker
  • Forked River, NJ
National Provider Identifier
1093857518
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OCEAN COUNSELING & FAMILY CENTER, PA
Practice address
620 Lacey Rd
Suite 5
Forked River, NJ 08731-2244
Phone
(609) 693-5777
Fax
(609) 693-5887
NPI assigned
Feb 12, 2007
Last updated
Nov 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Mrs. Susan Truland, LCSWNPI 1124160643
Title
President
Phone
(609) 693-5777

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

620 Lacey Rd
Suite 5
Forked River, NJ 08731-2244

Mailing address

620 Lacey Rd
Suite 5
Forked River, NJ 08731-2244
Phone (609) 693-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201109001151 NJ Part B Supplier - Clinic/Group Practice 0345650016 Receives reassigned benefits from 1 practitioner
Practice locations: Forked River, NJ

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1093857518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 LACEY RD",
            "address_2": "SUITE 5",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312244",
            "telephone_number": "609-693-5777",
            "fax_number": "609-693-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LACEY RD",
            "address_2": "SUITE 5",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312244",
            "telephone_number": "609-693-5777",
            "fax_number": "609-693-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN COUNSELING & FAMILY CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-11-09",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "TRULAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-693-5777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.