Positive Change Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05389000 Issued in NJ

Legal business name

POSITIVE CHANGE COUNSELING LLC

Practice address

88 Park St
Montclair, NJ 07042-5915

Phone

(862) 216-0254

Fax

(973) 233-4473

NPI assigned

Mar 16, 2018

Last updated

Mar 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Hugues, MSW LCSWNPI 1306016761

Title

Owner

Phone

(862) 216-0254

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, and the practitioner matching its NPPES authorized official.

• Jeffrey S Hugues, LCSW

  • Clinical Social Worker
  • Passaic, NJ
  • NPI 1306016761
  NPD Authorized official

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1164925905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070425915",
            "telephone_number": "862-216-0254",
            "fax_number": "973-233-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070425915",
            "telephone_number": "862-216-0254",
            "fax_number": "973-233-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE CHANGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "HUGUES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-216-0254",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05389000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, 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 Mar 19, 2018; 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.