Organization Active NPI

Herbert Counseling and Psychotherapy LLC

  • Clinical Social Worker
  • Fort Lee, NJ
National Provider Identifier
1295940104
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01287800 Issued in NJ
Legal business name
HERBERT COUNSELING AND PSYCHOTHERAPY LLC
Practice address
2175 Hudson Terrace
Suite 9G River View Towers
Fort Lee, NJ 07024-7719
Phone
(201) 836-1065
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Mr. Philip A Herbert, LCSWNPI 1760498984
Title
Sole Proprietor
Phone
(201) 482-0120

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X 44SC01287800 NJ
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X 025385 NY
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC01287800 NJ Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 026385 NY

Addresses

Primary practice location

2175 Hudson Terrace
Suite 9G River View Towers
Fort Lee, NJ 07024-7719

Mailing address

2175 Hudson Terrace
Suite 9G River View Towers
Fort Lee, NJ 07024-7710
Phone (201) 482-0120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080919000259 NJ Part B Supplier - Clinic/Group Practice 6103993977 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lee, NJ; Wayne, NJ

National Provider Directory

National Provider Directory

Locations

121 Cedar Ln
#1
Teaneck, NJ 07666
Phone (201) 836-1065

1581 Route 23
Ste 3
Wayne, NJ 07470
Phone (201) 482-0120

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1295940104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 HUDSON TERRACE",
            "address_2": "SUITE 9G RIVER VIEW TOWERS",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247710",
            "telephone_number": "201-482-0120",
            "fax_number": "201-482-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 HUDSON TERRACE",
            "address_2": "SUITE 9G RIVER VIEW TOWERS",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247719",
            "telephone_number": "201-836-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT COUNSELING AND PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "201-482-0120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "NJ",
            "license": "44SC01287800",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "025385",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01287800",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "026385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.