Jacob Max Winkler LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JACOB MAX WINKLER LLC

Doing business as

Group Therapy NJ
Jacob Max Winkler LLC

Practice address

320 Raritan Ave Ste 304a
Highland Park, NJ 08904-2752

Phone

(804) 404-5679

NPI assigned

Mar 7, 2024

Last updated

Mar 7, 2024By 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

Jacob Max Winkler, LCSWNPI 1659781953

Title

Owner

Phone

(804) 404-5679

Specialties & licenses 1

Addresses

Other names 2

• Group Therapy NJ Doing business as
• Jacob Max Winkler LLC Doing business as

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.

• Jacob Winkler, LCSW, CGP, CAMS-II

  • Clinical Social Worker
  • Highland Park, NJ
  • NPI 1659781953
  NPD Authorized official

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1275391062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 RARITAN AVE STE 304A",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042752",
            "telephone_number": "804-404-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RARITAN AVE STE 304A",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042752",
            "telephone_number": "804-404-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB MAX WINKLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "WINKLER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-404-5679",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Group Therapy NJ",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jacob Max Winkler LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inner Promise Counseling, LLC
• Institute for Personal Growth
• Institute for Personal Growth
• Integral Therapy and Counseling, LLC
• Tsutomu Iseda, MD
• Miriam Jaffe, PHD, LSW
• Goral Jani
• Kylie Jensen
• Jeremy Lichtman CBT (Central Therapy NJ)
• Yesica Jiminez-Alvarez, RBT

• Mental Health Counselor in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.