New Destiny Community Counseling Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NEW DESTINY COMMUNITY COUNSELING CENTER

Practice address

1330 Livingston Ave Ste 5
North Brunswick, NJ 08902-3828

Phone

(732) 246-8850

Fax

(732) 246-8852

NPI assigned

Feb 1, 2008

Organization subpart

Yes

Parent organization

NEW DESTINY FAMILY WORSHIP CENTERAs reported in NPPES

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

Authorized official

Name

Tracy Neal

Title

Billing Administrator

Phone

(732) 246-8850

Specialties & licenses 1

Addresses

Part of

New Destiny Community Counseling Center

Locations

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1134307101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LIVINGSTON AVE STE 5",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023828",
            "telephone_number": "732-246-8850",
            "fax_number": "732-246-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LIVINGSTON AVE STE 5",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023828",
            "telephone_number": "732-246-8850",
            "fax_number": "732-246-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DESTINY COMMUNITY COUNSELING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW DESTINY FAMILY WORSHIP CENTER",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "732-246-8850"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Feb 1, 2008; 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.