Authentic Resilience Psychotherapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

AUTHENTIC RESILIENCE PSYCHOTHERAPY, LLC

Practice address

201 Strykers Rd Ste 19-179
Phillipsburg, NJ 08865-5400

Phone

(908) 291-2131

Fax

(908) 751-1181

NPI assigned

May 31, 2023

Organization subpart

No

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

Authorized official

Name

Dana Kabisch, MA, LPC, NCCNPI 1720579121

Title

Owner/Mental Health Clinician

Phone

(908) 291-2131

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.

• Dana M Kabisch, LPC

  • Professional Counselor
  • Phillipsburg, NJ
  • NPI 1720579121
  NPD Authorized official

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1205529740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STRYKERS RD STE 19-179",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088655400",
            "telephone_number": "908-291-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STRYKERS RD STE 19-179",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088655400",
            "telephone_number": "908-291-2131",
            "fax_number": "908-751-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC RESILIENCE PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "KABISCH",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "908-291-2131",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.