Grace Family and Community Counseling Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACE FAMILY AND COMMUNITY COUNSELING SERVICES LLC

Practice address

90 E Halsey Rd Ste 333
Parsippany, NJ 07054-3713

Phone

(908) 590-5810

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Patrice Dow-Nelson, PHD

Title

Executive Director

Phone

(908) 590-5810

Specialties & licenses 4

Addresses

Electronic endpoints 1

Tax ID family

Grace Family and Community Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Grace Family and Community Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maplewood, NJ
  • NPI 1104606268
  NPD tax ID

Locations

Practitioners 1

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

• Fatimata M Ly Fall, PHD

  • Counselor
  • Maplewood, NJ
  • NPI 1174269179
  NPD

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1245976232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E HALSEY RD STE 333",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543713",
            "telephone_number": "908-590-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E HALSEY RD STE 333",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543713",
            "telephone_number": "908-590-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY AND COMMUNITY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "DOW-NELSON",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-590-5810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gracefamilyandcommunity@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Counseling services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "90 E Halsey Rd",
            "city": "Parsippany",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070543713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nilda L Gonzalez-Chavarria
• Ashley Ann Gorman, PH.D.
• Andrea L Gosselin, PT
• Devang S Goswami, BHMS
• David I Graber, D.C.
• Shunta Graham
• Elana L Grann, APN
• Grapefruit Medical, PA
• Kathleen A. Gravino, LPC-COUNSELOR
• Askia Gray

• In Home Supportive Care Agency in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.