NPIMap

Organization Active NPI

Youth Consultation Service, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Willingboro, NJ
National Provider Identifier
1225532179
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH2540 Issued in NJ
Legal business name
YOUTH CONSULTATION SERVICE, INC
Practice address
144 Toledo LN
Willingboro, NJ 08046-3707
Phone
(973) 482-8411
NPI assigned
Mar 23, 2018
Last updated
Mar 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Mr. Richard Mingoia, LCSW
Title
President/Ceo
Phone
(973) 482-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH2540 NJ Primary

Addresses

Primary practice location

144 Toledo LN
Willingboro, NJ 08046-3707

Mailing address

284 Broadway
Newark, NJ 07104-4003
Phone (973) 482-8411

National Provider Directory

National Provider Directory
Tax ID family
Youth Consultation Service Inc98 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1225532179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044003",
            "telephone_number": "973-482-8411",
            "fax_number": "973-482-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 TOLEDO LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463707",
            "telephone_number": "973-482-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH CONSULTATION SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "MINGOIA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "973-482-8411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH2540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.