Organization Active NPI

Core Counseling of North Jersey, LLC

  • Clinical Social Worker
  • Englewood, NJ
National Provider Identifier
1295371243
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CORE COUNSELING OF NORTH JERSEY, LLC
Practice address
40 N Van Brunt St
Englewood, NJ 07631-2740
Phone
(201) 875-5699
Fax
(201) 503-2345
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Lisa Fedder, MSW, LCSW, LCADCNPI 1477977411
Title
Managing Partner/ Psychotherapist
Phone
(201) 875-5699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

40 N Van Brunt St
Englewood, NJ 07631-2740

Mailing address

40 N Van Brunt St
Englewood, NJ 07631-2740
Phone (201) 875-5699

National Provider Directory

National Provider Directory

Locations

40 N Van Brunt St
Englewood, NJ 07631
Phone (201) 875-5699

40 N Van Brunt St
Ste 22
Englewood, NJ 07631
Phone (201) 875-5699

Practitioners & affiliated clinicians

Practitioners 6

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": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1295371243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N VAN BRUNT ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312740",
            "telephone_number": "201-875-5699",
            "fax_number": "201-503-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N VAN BRUNT ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312740",
            "telephone_number": "201-875-5699",
            "fax_number": "201-503-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE COUNSELING OF NORTH JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "FEDDER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGING PARTNER/ PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "201-875-5699",
        "authorized_official_credential": "MSW, LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.