Organization Active NPI

M&S Integrated Psychotherapy and Counseling LLC

  • Professional Counselor
  • Totowa, NJ
National Provider Identifier
1306177761
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00360100 Issued in NJ
Legal business name
M&S INTEGRATED PSYCHOTHERAPY AND COUNSELING LLC
Practice address
555 Preakness Ave
Totowa, NJ 07502-1012
Phone
(973) 341-9869
Fax
(973) 689-7271
NPI assigned
Jan 26, 2010
Last updated
Jan 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Gabriel Montero, LMHCNPI 1942522479
Title
General Manager
Phone
(973) 341-9869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00360100 NJ Primary
Clinical Social Worker 1041C0700X 44SC05307400 NJ

Addresses

Primary practice location

555 Preakness Ave
Totowa, NJ 07502-1012

Mailing address

555 Preakness Ave
Totowa, NJ 07502-1012
Phone (973) 341-9869

Other identifiers 1

IdentifierTypeStateIssuer
0162426MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
M S Psychotheraphy Counseling Integrated LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1306177761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PREAKNESS AVE",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075021012",
            "telephone_number": "973-341-9869",
            "fax_number": "973-689-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PREAKNESS AVE",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075021012",
            "telephone_number": "973-341-9869",
            "fax_number": "973-689-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&S INTEGRATED PSYCHOTHERAPY AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "973-341-9869",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00360100",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05307400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162426",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.