Organization Active NPI

Counseling Center of Essex

  • Counselor
  • Cedar Grove, NJ
National Provider Identifier
1336653633
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC00302100 Issued in NJ
Legal business name
COUNSELING CENTER OF ESSEX
Practice address
1425 Pompton Ave
BLDG 3 - Floor 1
Cedar Grove, NJ 07009-1043
Phone
(973) 997-9201
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Doris M Dinallo, RN, LCADC,LPC,BCPCNPI 1184858946
Title
Counselor
Phone
(973) 997-9201

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 37PC00302100 NJ Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 37LC00119100 NJ
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X

Addresses

Primary practice location

1425 Pompton Ave
BLDG 3 - Floor 1
Cedar Grove, NJ 07009-1043

Mailing address

1425 Pompton Ave
BLDG 3 Floor 1
Cedar Grove, NJ 07009-1043
Phone (973) 997-9201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250218002762 NJ Part B Supplier - Clinic/Group Practice 3375063571 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Grove, NJ

National Provider Directory

National Provider Directory

Locations

1425 Pompton Ave
Ste 3-1
Cedar Grove, NJ 07009
Phone (973) 997-9201

1425 Pompton Ave
Fl 1
Cedar Grove, NJ 07009
Phone (973) 997-9201

1425 Pompton Ave
Bldg 3
Cedar Grove, NJ 07009
Phone (973) 997-9201

1425 Pompton Ave
Fl 2
Cedar Grove, NJ 07009

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": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1336653633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 POMPTON AVE",
            "address_2": "BLDG 3 FLOOR 1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091043",
            "telephone_number": "973-997-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 POMPTON AVE",
            "address_2": "BLDG 3 - FLOOR 1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091043",
            "telephone_number": "973-997-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER OF ESSEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "DINALLO",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "973-997-9201",
        "authorized_official_credential": "RN, LCADC,LPC,BCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00302100",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00119100",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.