Organization Active NPI

Therapeutic Alliance Group, Inc.

  • Professional Counselor
  • Paramus, NJ
National Provider Identifier
1154539716
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00306000 Issued in NJ
Legal business name
THERAPEUTIC ALLIANCE GROUP, INC.
Practice address
10 Forest Ave Ste 209
Paramus, NJ 07652-5238
Phone
(551) 265-4448
Fax
(888) 777-9691
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Authorized official

Name
Tracy Allison Hans, LPCNPI 1407064033
Title
Executive Director
Phone
(888) 777-9691

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 37PC00306000 NJ Primary

Addresses

Primary practice location

10 Forest Ave Ste 209
Paramus, NJ 07652-5238

Mailing address

10 Forest Ave Ste 209
Paramus, NJ 07652-5238
Phone (551) 265-4448

Other identifiers 1

IdentifierTypeStateIssuer
0062308MedicaidNJ

National Provider Directory

National Provider Directory

Locations

10 Forest Ave
Ste 209
Paramus, NJ 07652
Phone (201) 240-9176

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1154539716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOREST AVE STE 209",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525238",
            "telephone_number": "551-265-4448",
            "fax_number": "888-777-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOREST AVE STE 209",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525238",
            "telephone_number": "551-265-4448",
            "fax_number": "888-777-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ALLIANCE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "HANS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "888-777-9691",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00306000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.