Organization Active NPI

Therapy Confidential and Consulting LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mountainside, NJ
National Provider Identifier
1265150056
Registry record updated Oct 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
THERAPY CONFIDENTIAL AND CONSULTING LLC
Practice address
1199 Route 22
Mountainside, NJ 07092-2807
Phone
(908) 228-5100
Fax
(908) 228-5115
NPI assigned
Aug 17, 2022
Last updated
Oct 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2022

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

Authorized official

Name
Claudette L Blake-Tonge, APRN
Title
Owner
Phone
(973) 704-3756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1199 Route 22
Mountainside, NJ 07092-2807

Mailing address

1199 Route 22
Mountainside, NJ 07092-2807
Phone (908) 228-5100

Other names 1

  • Claudette L Blake PMHNP Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220001897 NJ Part B Supplier - Clinic/Group Practice 3971947714 Receives reassigned benefits from 2 practitioners
Practice locations: Mountainside, NJ

National Provider Directory

National Provider Directory

Locations

1199 Route 22
Mountainside, NJ 07092
Phone (908) 228-5100

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664668800000",
    "number": "1265150056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 ROUTE 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922807",
            "telephone_number": "908-228-5100",
            "fax_number": "908-228-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 ROUTE 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922807",
            "telephone_number": "908-228-5100",
            "fax_number": "908-228-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY CONFIDENTIAL AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-10-02",
        "certification_date": "2022-10-02",
        "status": "A",
        "authorized_official_last_name": "BLAKE-TONGE",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-704-3756",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claudette L Blake PMHNP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Claudette L Blake PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mountainside, NJ

Sources for this page

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