Elisabeth Constantine, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC0449 Issued in NJ

Legal business name

ELISABETH CONSTANTINE, LLC

Practice address

57 Cedar LN
Teaneck, NJ 07666-4444

Phone

(201) 925-3550

NPI assigned

Jun 7, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Elisabeth Constantine, MA, LPC, NBCCHNPI 1033120258

Title

Psychotherapist

Phone

(201) 925-3550

Specialties & licenses 1

Addresses

Other names 1

• Elisabeth Constantine, LPC, NBCCH, LLC Other name

Locations

Practitioners 1

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

• Elisabeth Constantine, MA

  • Professional Counselor
  • Teaneck, NJ
  • NPI 1033120258
  NPD Authorized official

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1225322233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076660034",
            "telephone_number": "201-925-3550",
            "fax_number": "877-335-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664444",
            "telephone_number": "201-925-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISABETH CONSTANTINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "CONSTANTINE",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "201-925-3550",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC, NBCCH"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "PC0449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elisabeth Constantine, LPC, NBCCH, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Elisabeth Constantine, LPC, NBCCH, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Teaneck, NJ
• Providers in Teaneck, 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 Dec 9, 2020; 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.