NPIMap

Organization Active NPI

Psychotherapy Milestones LLC

  • Professional Counselor
  • East Hanover, NJ
National Provider Identifier
1194273284
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00522600 Issued in NJ
Legal business name
PSYCHOTHERAPY MILESTONES LLC
Practice address
470 Ridgedale Ave Ste 3
East Hanover, NJ 07936-3074
Phone
(973) 515-1216
NPI assigned
Sep 16, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Mrs. Rebecca Logunovskiy, LPC, LMHCNPI 1093059669
Title
Owner
Phone
(718) 801-5843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 37PC00522600 NJ Primary

Addresses

Primary practice location

470 Ridgedale Ave Ste 3
East Hanover, NJ 07936-3074

Mailing address

470 Ridgedale Ave Ste 3
East Hanover, NJ 07936-3074

National Provider Directory

National Provider Directory

Locations

470 Ridgedale Ave
Ste 3
East Hanover, NJ 07936
Phone (973) 515-1216

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1194273284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 RIDGEDALE AVE STE 3",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 RIDGEDALE AVE STE 3",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363074",
            "telephone_number": "973-515-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY MILESTONES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "LOGUNOVSKIY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-801-5843",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00522600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.