Organization Active NPI

Great Joy Counseling and Consulting Services LLC

  • Clinical Social Worker
  • Clark, NJ
National Provider Identifier
1134664709
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05608300 Issued in NJ
Legal business name
GREAT JOY COUNSELING AND CONSULTING SERVICES LLC
Practice address
800 Raritan Rd # 2
Clark, NJ 07066-1710
Phone
(908) 576-5544
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
La'Tesha Sampson, LCSWNPI 1730576398
Title
President
Phone
(908) 576-5544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05608300 NJ Primary

Addresses

Primary practice location

800 Raritan Rd # 2
Clark, NJ 07066-1710

Mailing address

PO Box 1876
Linden, NJ 07036-0008
Phone (908) 615-4928

Other practice location 1

8001 Raintree Ln Ste 213
Charlotte, NC 28277-8919
Phone (908) 615-4928

Other identifiers 1

IdentifierTypeStateIssuer
P5297687OtherNJOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220328001410 NJ Part B Supplier - Clinic/Group Practice 8325433477 Receives reassigned benefits from 1 practitioner
Practice locations: Clark, NJ
O20240805002340 NC Part B Supplier - Clinic/Group Practice 8325433477 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

800 Raritan Rd
#2
Clark, NJ 07066
Phone (908) 445-7444

800 Raritan Rd
Clark, NJ 07066
Phone (732) 381-1600

800 Raritan Rd
#1
Clark, NJ 07066
Phone (908) 615-4928

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1134664709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1876",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070360008",
            "telephone_number": "908-615-4928",
            "fax_number": "908-325-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RARITAN RD # 2",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661710",
            "telephone_number": "908-576-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 Raintree Ln Ste 213",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282778919",
            "country_code": "US",
            "telephone_number": "908-615-4928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT JOY COUNSELING AND CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "LA'TESHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-576-5544",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05608300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P5297687",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.