Youth and Family Wellness

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

37PC00024200 Issued in NJ

Legal business name

YOUTH AND FAMILY WELLNESS

Practice address

76 S Orange Ave Ste 206B
South Orange, NJ 07079-1923

Phone

(973) 821-4702

Fax

(973) 275-9224

NPI assigned

Apr 10, 2018

Last updated

Apr 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel Rwivanga Ruranga, MSED.LPCNPI 1134245780

Title

Licensed Counselor/Owner

Phone

(973) 821-4702

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, and the practitioner matching its NPPES authorized official.

• Emmanuel Rwivanga Ruranga, MS.LPC

  • Professional Counselor
  • Maplewood, NJ
  • NPI 1134245780
  NPD (past) Authorized official

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1245737824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 N WESTERN DR",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791447",
            "telephone_number": "973-821-4702",
            "fax_number": "973-275-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 S ORANGE AVE STE 206B",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791923",
            "telephone_number": "973-821-4702",
            "fax_number": "973-275-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH AND FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "RURANGA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "RWIVANGA",
        "authorized_official_title_or_position": "LICENSED COUNSELOR/OWNER",
        "authorized_official_telephone_number": "973-821-4702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSED.LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00024200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.