NPIMap

Organization Active NPI

Counseling Center at Clark, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cherry Hill, NJ
National Provider Identifier
1114707502
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COUNSELING CENTER AT CLARK, LLC
Practice address
950 Kings Hwy N Ste 304
Cherry Hill, NJ 08034-1518
Phone
(561) 318-4400
NPI assigned
Oct 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Jason Usilton
Title
Director of RCM
Phone
(561) 318-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

950 Kings Hwy N Ste 304
Cherry Hill, NJ 08034-1518

Mailing address

950 Kings Hwy N Ste 304
Cherry Hill, NJ 08034-1518

Other names 1

  • Counseling Center at Clark - Cherry Hill Other name

National Provider Directory

National Provider Directory
Tax ID family
Counseling Center at Clark - Cherry Hill7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1114707502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 KINGS HWY N STE 304",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 KINGS HWY N STE 304",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341518",
            "telephone_number": "561-318-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER AT CLARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "USILTON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "561-318-4400"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Center at Clark - Cherry Hill",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • 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.