Jacqueline Spencer Memorial Counseling Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JACQUELINE SPENCER MEMORIAL COUNSELING CENTER

Practice address

16 Stratford PL
Newark, NJ 07108-2846

Phone

(973) 623-2258

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Cornelius Evans

Title

Owner

Phone

(973) 623-2258

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Bernice Holmes, LPC

  • Marriage & Family Therapist
  • Newark, NJ
  • NPI 1831491257
  NPD (past)

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1194028464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STRATFORD PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071082846",
            "telephone_number": "973-623-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 STRATFORD PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071082846",
            "telephone_number": "973-623-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE SPENCER MEMORIAL COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-623-2258"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeena Jacob, M.D.
• Jerril Jacob, MD
• Jisha Rachel Jacob
• Tyler Branson Jacobs
• Jennifer Jacobson
• Alisha Jadhav
• Maryam Jafari, MD
• Mortaza Jafari, MD
• Fatema Jaffery, MD
• Mustafa Jaffry, MD

• All providers in Newark, NJ
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.