Revive & Thrive Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REVIVE & THRIVE COUNSELING LLC

Practice address

1401 Doremus PL
Hillside, NJ 07205-1844

Phone

(908) 718-1840

NPI assigned

Aug 16, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Falinda C Dieujuste, LCSWNPI 1629851266

Title

Owner/Therapist

Phone

(908) 718-1840

Specialties & licenses 1

Addresses

Practitioners 1

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

• Falinda C Dieujuste, LCSW

  • Clinical Social Worker
  • Jackson, NJ
  • NPI 1629851266
  NPD Authorized official

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1164205704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 DOREMUS PL APT A2",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051843",
            "telephone_number": "908-718-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 DOREMUS PL",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051844",
            "telephone_number": "908-718-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE & THRIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-09-05",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "DIEUJUSTE",
        "authorized_official_first_name": "FALINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "908-718-1840",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Hillside, NJ
• Providers in Hillside, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.