Active NPI
Life Abundant Counseling LLC
- Community/Behavioral Health Agency
- South Orange, NJ
National Provider Identifier
1245804343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIFE ABUNDANT COUNSELING LLC
- Practice address
- 358 Montrose Ave
South Orange, NJ 07079-2439 - Phone
- (347) 334-3395
- NPI assigned
- May 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Randall, LPC
- Title
- Owner
- Phone
- (347) 334-3395
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
358 Montrose Ave
South Orange, NJ 07079-2439
Mailing address
441 Main St
Metuchen, NJ 08840-4804
National Provider Directory
National Provider DirectoryLocations
441 Main St
Metuchen, NJ 08840
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- South Orange, NJ
- NPI 1821670472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620950400000",
"number": "1245804343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 MAIN ST",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088404804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 MONTROSE AVE",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070792439",
"telephone_number": "347-334-3395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE ABUNDANT COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A",
"authorized_official_last_name": "RANDALL",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-334-3395",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.