Organization Active NPI

South Collective Counseling, LLC

  • Professional Counselor
  • Parsippany, NJ
National Provider Identifier
1164196887
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SOUTH COLLECTIVE COUNSELING, LLC
Practice address
181 New Rd Ste 304
Parsippany, NJ 07054-5625
Phone
(201) 407-8870
NPI assigned
Aug 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Mrs. Melissa D. South, MA, LPC, ACSNPI 1477195998
Title
Owner/ Clinical Supervisor
Phone
(201) 407-8870

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

181 New Rd Ste 304
Parsippany, NJ 07054-5625

Mailing address

181 New Rd Ste 304
Parsippany, NJ 07054-5625
Phone (201) 407-8870

National Provider Directory

National Provider Directory

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": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1164196887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 NEW RD STE 304",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070545625",
            "telephone_number": "201-407-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 NEW RD STE 304",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070545625",
            "telephone_number": "201-407-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COLLECTIVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "SOUTH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/ CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "201-407-8870",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC, ACS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.