Organization Active NPI

Tri-State Counseling, LLC

  • Community/Behavioral Health Agency
  • Morristown, NJ
National Provider Identifier
1184088023
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37PC00439800 Issued in NJ
Legal business name
TRI-STATE COUNSELING, LLC
Practice address
45 S Park PL # 186
Morristown, NJ 07960-3924
Phone
(310) 883-4125
NPI assigned
Apr 6, 2016
Last updated
Apr 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Ms. Demetra Vakkas, LPC
Title
Owner
Phone
(310) 883-4125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 37PC00439800 NJ Primary

Addresses

Primary practice location

45 S Park PL # 186
Morristown, NJ 07960-3924

Mailing address

45 S Park PL # 186
Morristown, NJ 07960-3924

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1184088023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S PARK PL # 186",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S PARK PL # 186",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603924",
            "telephone_number": "310-883-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "VAKKAS",
        "authorized_official_first_name": "DEMETRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-883-4125",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00439800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.