Organization Active NPI

Mental Health Matters, LLC

  • Professional Counselor
  • Teaneck, NJ
National Provider Identifier
1134581457
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00518400 Issued in NJ
Legal business name
MENTAL HEALTH MATTERS, LLC
Practice address
121 Cedar LN
Suite 3-a
Teaneck, NJ 07666-4457
Phone
(201) 836-1065
NPI assigned
Mar 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Mr. Greg R Ieraci, LPC
Title
Counselor and Psychotherapist
Phone
(551) 265-4621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 37PC00518400 NJ Primary

Addresses

Primary practice location

121 Cedar LN
Suite 3-a
Teaneck, NJ 07666-4457

Mailing address

557 Schaefer Ave
Oradell, NJ 07649-2517
Phone (551) 265-4621

Other names 1

  • Greg R. Ieraci Doing business as

National Provider Directory

National Provider Directory

Locations

121 Cedar Ln
Ste 3A
Teaneck, NJ 07666
Phone (201) 674-1851

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1134581457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 SCHAEFER AVE",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492517",
            "telephone_number": "551-265-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CEDAR LN",
            "address_2": "SUITE 3-A",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664457",
            "telephone_number": "201-836-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH MATTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "IERACI",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COUNSELOR AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "551-265-4621",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00518400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greg R. Ieraci",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.