Two Rivers Evaluation Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00353500 Issued in NJ

Legal business name

TWO RIVERS EVALUATION SERVICES

Practice address

331 Newman Springs Rd
BLDG. 1 4TH FL. Suite 143
Red Bank, NJ 07701-5688

Phone

(866) 784-1276

Fax

(866) 784-1276

NPI assigned

Feb 26, 2013

Organization subpart

Yes

Parent organization

HALSTEAD STEWART INC.As reported in NPPES

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

Authorized official

Name

Martha Isobel Luczak, LPC

Title

Managing Director

Phone

(866) 784-1276

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405209600000",
    "number": "1104166289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD",
            "address_2": "BLDG. 1 4TH FL. SUITE 143",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688",
            "telephone_number": "866-784-1276",
            "fax_number": "866-784-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD",
            "address_2": "BLDG. 1 4TH FL. SUITE 143",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688",
            "telephone_number": "866-784-1276",
            "fax_number": "866-784-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS EVALUATION SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALSTEAD STEWART INC.",
        "enumeration_date": "2013-02-26",
        "last_updated": "2014-07-13",
        "status": "A",
        "authorized_official_last_name": "LUCZAK",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ISOBEL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "866-784-1276",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00353500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.