Active NPI
Janice Georgallas, L.P.C.
- Professional Counselor
- Park Ridge, NJ
National Provider Identifier
1275893547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00133600
- Practice address
- 139 Ashley PL
Park Ridge, NJ 07656-2608 - Phone
- (201) 336-2833
- NPI assigned
- May 21, 2012
- Last updated
- May 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00133600 | NJ | Primary |
Addresses
Primary practice location
139 Ashley PL
Park Ridge, NJ 07656-2608
Mailing address
139 Ashley PL
Park Ridge, NJ 07656-2608
Phone (201) 336-2833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00133600 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1275893547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 ASHLEY PL",
"city": "PARK RIDGE",
"state": "NJ",
"postal_code": "076562608",
"telephone_number": "201-336-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 ASHLEY PL",
"city": "PARK RIDGE",
"state": "NJ",
"postal_code": "076562608",
"telephone_number": "201-336-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGALLAS",
"first_name": "JANICE",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00133600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, NJ
- Tocia Floris
- Barbara Franzini, PH.D.
- Tracie Fried
- James Eugene Gamrat, PT, DPT
- Valerie Elizabeth Gancarz-Demarco, MA, MSW, LSW, BCBA
- Jericho Gevera, PT
- Jeffrey Gewirtz, DPM
- Gary Victor Golembiewski, D.C.
- Grace Pelvic Health and Wellness LLC
- Great Atlantic & Pacific Tea Co., Inc. (A&P Pharmacy # 664)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.