NPIMap

Organization Active NPI

Ms Integrated Psychotherapy and Counseling LLC

  • Mental Health Counselor
  • Totowa, NJ
National Provider Identifier
1184976391
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004120-1 Issued in NY
Legal business name
MS INTEGRATED PSYCHOTHERAPY AND COUNSELING LLC
Practice address
555 Preakness Ave
Totowa, NJ 07502-1012
Phone
(973) 341-9869
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Gabriel Montero
Title
Ceo / General Manager
Phone
(973) 341-9869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 004120-1 NY Primary

Addresses

Primary practice location

555 Preakness Ave
Totowa, NJ 07502-1012

Mailing address

555 Preakness Ave
Totowa, NJ 07502-1012

Other identifiers 1

IdentifierTypeStateIssuer
0162426MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Ms Integrated Psychotherapy and Counseling5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1184976391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PREAKNESS AVE",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075021012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PREAKNESS AVE",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075021012",
            "telephone_number": "973-341-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS INTEGRATED PSYCHOTHERAPY AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "CEO / GENERAL MANAGER",
        "authorized_official_telephone_number": "973-341-9869"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004120-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162426",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.