Grace Family and Community Counseling Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GRACE FAMILY AND COMMUNITY COUNSELING SERVICES LLC

Practice address

16 Berkeley St
Maplewood, NJ 07040-3317

Phone

(908) 590-5810

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Patrice M Nelson, PHD

Title

Member

Phone

(908) 590-5810

Specialties & licenses 1

Addresses

Other names 1

• GRACE FAMILY AND COMMUNITY COUNSELING SERVICES LLC Other name

Tax ID family

Grace Family and Community Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grace Family and Community Counseling Services LLC

  • In Home Supportive Care Agency
  • Parsippany, NJ
  • NPI 1245976232
  NPD tax ID

Practitioners 1

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

• Fatimata M Ly Fall, PHD

  • Counselor
  • Maplewood, NJ
  • NPI 1174269179
  NPD

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1104606268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BERKELEY ST",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403317",
            "telephone_number": "908-590-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BERKELEY ST",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403317",
            "telephone_number": "908-590-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY AND COMMUNITY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "908-590-5810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE FAMILY AND COMMUNITY COUNSELING SERVICES LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexis Goncalves, PHARMD
• Gerard L. Gonsalves, D.M.D. P.A.
• Monica Goodrich
• Grace Excellency Care, LLC
• Grace Excellency Care, LLC
• Lynn Graffeo, FNP
• Kaylee Kathryn Graham, RN
• Jan Alexandra Grayson, PSY.D.
• Iesha Green
• Grover Medical Associates, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.