Organization Active NPI

Power Counseling and Treatment Services, LLC

  • Clinical Social Worker
  • Vineland, NJ
National Provider Identifier
1255699013
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
POWER COUNSELING AND TREATMENT SERVICES, LLC
Practice address
1071 E Landis Ave Ste 3
Vineland, NJ 08360-4060
Phone
(202) 813-0454
Fax
(202) 813-0454
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Mr. Azubike Innocent Aliche, LCSWNPI 1649540675
Title
Director
Phone
(202) 813-0454

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1071 E Landis Ave Ste 3
Vineland, NJ 08360-4060

Mailing address

6828 Walkway CT Ste B
Bryans Road, MD 20616-6106
Phone (202) 813-0454

Other practice location 1

1325 Quincy St NE
Washington, DC 20017-2615
Phone (202) 813-0454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120727000044 NJ Part B Supplier - Clinic/Group Practice 1153587696 Receives reassigned benefits from 1 practitioner
Practice locations: Vineland, NJ

National Provider Directory

National Provider Directory

Locations

717 E Elmer St
Ofc F
Vineland, NJ 08360
Phone (856) 906-6167

2848 S Delsea Dr
#2
Vineland, NJ 08360
Phone (856) 906-6167

1071 E Landis Ave
Ste 3
Vineland, NJ 08360
Phone (202) 813-0454

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1255699013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6828 WALKWAY CT STE B",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206166106",
            "telephone_number": "202-813-0454",
            "fax_number": "202-813-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 E LANDIS AVE STE 3",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083604060",
            "telephone_number": "202-813-0454",
            "fax_number": "202-813-0454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Quincy St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200172615",
            "country_code": "US",
            "telephone_number": "202-813-0454",
            "fax_number": "202-813-0454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POWER COUNSELING AND TREATMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "ALICHE",
        "authorized_official_first_name": "AZUBIKE",
        "authorized_official_middle_name": "INNOCENT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-813-0454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.