Shooting Star Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHOOTING STAR COUNSELING LLC

Practice address

26 Kettering CT
Robbinsville, NJ 08691-3107

Phone

(646) 271-7912

NPI assigned

Feb 5, 2020

Last updated

Feb 5, 2020By 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

Jesse Coudray, LCSWNPI 1508302399

Title

Owner

Phone

(646) 271-7912

Specialties & licenses 1

Addresses

Tax ID family

Ascension Therapeutics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ascension Therapeutics LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Robbinsville, NJ
  • NPI 1558972141
  NPD tax ID

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.

• Jesse Coudray, LCSW

  • Clinical Social Worker
  • Robbinsville, NJ
  • NPI 1508302399
  Authorized official Same address or phone

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1295367605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 KETTERING CT",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086913107",
            "telephone_number": "646-271-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 KETTERING CT",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086913107",
            "telephone_number": "646-271-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOOTING STAR COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "COUDRAY",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-271-7912",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amit Chandravadan Shah, D.O.
• Nisha Shah, O.D.
• Farah Sahid Shaikh, PHARMD, RPH
• Maanya Sharma
• Rachna Sheth
• Shore Eeg Consulting LLC
• Donyale Jones Showers
• Todd A Singer, DDS
• Parmvir Singh, M.D.
• Shalabh Singhal, MD

• Community/Behavioral Health Agency in Robbinsville, NJ
• Providers in Robbinsville, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.