Active NPI
Family Care Behiorival Health Center Inc.
- Mental Health Counselor
- East Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FAMILY CARE BEHIORIVAL HEALTH CENTER INC.
- Practice address
- 220 S Harrison St Ste B
East Orange, NJ 07018-1401 - Phone
- (973) 677-7053
- Fax
- (973) 677-7050
- NPI assigned
- Sep 14, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Johnson Sr., LPC, LCADC
- Title
- President/ Ceo
- Phone
- (973) 677-7053
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NJ | Primary |
Addresses
Primary practice location
220 S Harrison St Ste B
East Orange, NJ 07018-1401
Mailing address
220 S Harrison St Ste B
East Orange, NJ 07018-1401
Phone (973) 677-7053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0062359 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
220 S Harrison St
Ste B
East Orange, NJ 07018
Phone (973) 677-7053
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.
-
- Counselor
- East Orange, NJ
- NPI 1043876618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1356446025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S HARRISON ST STE B",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181401",
"telephone_number": "973-677-7053",
"fax_number": "973-677-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S HARRISON ST STE B",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181401",
"telephone_number": "973-677-7053",
"fax_number": "973-677-7050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE BEHIORIVAL HEALTH CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT/ CEO",
"authorized_official_telephone_number": "973-677-7053",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "LPC, LCADC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0062359",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.