Organization Active NPI

Airmid Counseling Services

  • Community/Behavioral Health Agency
  • East Orange, NJ
National Provider Identifier
1285965517
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AIRMID COUNSELING SERVICES
Practice address
137 Evergreen PL
Suite 2D
East Orange, NJ 07018-2005
Phone
(973) 678-0550
Fax
(973) 678-1177
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Mr. Richard A Baraka, MA, LCADC
Title
General Partner/ Clinician
Phone
(973) 678-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

137 Evergreen PL
Suite 2D
East Orange, NJ 07018-2005

Mailing address

137 Evergreen PL
Suite 2D
East Orange, NJ 07018-2005
Phone (973) 678-0550

National Provider Directory

National Provider Directory

Locations

137 Evergreen Pl
Ste 2D
East Orange, NJ 07018
Phone (973) 673-4400

Practitioners & affiliated clinicians

Practitioners 1

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": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1285965517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 EVERGREEN PL",
            "address_2": "SUITE 2D",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182005",
            "telephone_number": "973-678-0550",
            "fax_number": "973-678-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 EVERGREEN PL",
            "address_2": "SUITE 2D",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182005",
            "telephone_number": "973-678-0550",
            "fax_number": "973-678-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRMID COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "BARAKA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL PARTNER/ CLINICIAN",
        "authorized_official_telephone_number": "973-678-0550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.