CNV Counseling Services LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

37FI00164500 Issued in NJ

Legal business name

CNV COUNSELING SERVICES LLC

Practice address

22 Coventry Dr
Freehold, NJ 07728-3164

Phone

(732) 735-6725

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Kerry Farrace, MS, LMFT

Title

Director

Phone

(732) 735-6725

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295258424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 COVENTRY DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283164",
            "telephone_number": "732-735-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 COVENTRY DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283164",
            "telephone_number": "732-735-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNV COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FARRACE",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-735-6725",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "37FI00164500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.