NPIMap

Organization Active NPI

Counseling Center at Clark, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clark, NJ
National Provider Identifier
1245637578
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2000538 Issued in NJ
Legal business name
COUNSELING CENTER AT CLARK, LLC
Practice address
60 Walnut Ave
Suite #201
Clark, NJ 07066-1649
Phone
(732) 882-1920
Fax
(732) 882-1925
NPI assigned
Dec 2, 2014
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Jason Usilton
Title
Director of RCM
Phone
(561) 318-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2000538 NJ Primary

Addresses

Primary practice location

60 Walnut Ave
Suite #201
Clark, NJ 07066-1649

Mailing address

60 Walnut Ave
Suite #201
Clark, NJ 07066-1649
Phone (732) 882-1920

Other practice location 1

691 US Highway 130 Ste 5
Robbinsville, NJ 08691-2207
Phone (609) 806-5083

Other practice location 2

950 Kings Hwy N Ste 304
Cherry Hill, NJ 08034-1518
Phone (856) 685-5800

Other practice location 3

127 Union Ave Ste 1
Middlesex, NJ 08846-1039
Phone (732) 893-2000

Other practice location 4

1120 Bloomfield Ave Ste 200
West Caldwell, NJ 07006-7131
Phone (973) 852-8430

Other practice location 5

1100 Cornwall Rd
Monmouth Junction, NJ 08852-2410
Phone (732) 419-4000

Other practice location 6

66 Sunset Strip Ste 302
Roxbury, NJ 07876-1362
Phone (862) 296-2062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220419000848 NJ Part B Supplier - Clinic/Group Practice 3971990144 Receives reassigned benefits from 33 practitioners
Practice locations: Cherry Hill, NJ; West Caldwell, NJ; Succasunna, NJ; Robbinsville, NJ; Middlesex, NJ; Clark, NJ; Monmouth Junction, NJ

National Provider Directory

National Provider Directory
Tax ID family
Counseling Center at Clark - Cherry Hill7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

60 Walnut Ave
Ste 201
Clark, NJ 07066
Phone (732) 419-4000

691 US Highway 130
Ste 5
Robbinsville, NJ 08691
Phone (609) 759-2070

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1245637578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WALNUT AVE",
            "address_2": "SUITE #201",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661649",
            "telephone_number": "732-882-1920",
            "fax_number": "732-882-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WALNUT AVE",
            "address_2": "SUITE #201",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661649",
            "telephone_number": "732-882-1920",
            "fax_number": "732-882-1925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "691 US Highway 130 Ste 5",
            "address_purpose": "LOCATION",
            "city": "Robbinsville",
            "state": "NJ",
            "postal_code": "086912207",
            "country_code": "US",
            "telephone_number": "609-806-5083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Kings Hwy N Ste 304",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341518",
            "country_code": "US",
            "telephone_number": "856-685-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Union Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Middlesex",
            "state": "NJ",
            "postal_code": "088461039",
            "country_code": "US",
            "telephone_number": "732-893-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 Bloomfield Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Caldwell",
            "state": "NJ",
            "postal_code": "070067131",
            "country_code": "US",
            "telephone_number": "973-852-8430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Cornwall Rd",
            "address_purpose": "LOCATION",
            "city": "Monmouth Junction",
            "state": "NJ",
            "postal_code": "088522410",
            "country_code": "US",
            "telephone_number": "732-419-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Sunset Strip Ste 302",
            "address_purpose": "LOCATION",
            "city": "Roxbury",
            "state": "NJ",
            "postal_code": "078761362",
            "country_code": "US",
            "telephone_number": "862-296-2062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING CENTER AT CLARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "USILTON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "561-318-4400"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.