Organization Active NPI

Emdr Counseling Center of NJ

  • Mental Health Counselor
  • Neptune City, NJ
National Provider Identifier
1174058994
Registry record updated Apr 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00544200 Issued in NJ
Legal business name
EMDR COUNSELING CENTER OF NJ
Practice address
3600 Route 66
Suite 150
Neptune City, NJ 07753-2605
Phone
(201) 429-5720
NPI assigned
Apr 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2017

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

Authorized official

Name
Nicholas Stanco, MA, LPC
Title
Ceo
Phone
(201) 429-5720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 37PC00544200 NJ Primary

Addresses

Primary practice location

3600 Route 66
Suite 150
Neptune City, NJ 07753-2605

Mailing address

3600 Route 66
Suite 150
Neptune City, NJ 07753-2605
Phone (201) 429-5720

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493510400000",
    "number": "1174058994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 66",
            "address_2": "SUITE 150",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077532605",
            "telephone_number": "201-429-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 66",
            "address_2": "SUITE 150",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077532605",
            "telephone_number": "201-429-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMDR COUNSELING CENTER OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-30",
        "last_updated": "2017-04-30",
        "status": "A",
        "authorized_official_last_name": "STANCO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-429-5720",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00544200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; 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.