Organization Active NPI

Grace Counseling Ministries, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Riverdale, NJ
National Provider Identifier
1356656516
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
44SC04571600 Issued in NJ
Legal business name
GRACE COUNSELING MINISTRIES, INC.
Practice address
73 Newark Pompton Tpke
Riverdale, NJ 07457-1451
Phone
(973) 835-2071
Fax
(973) 835-2083
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Mr. David L Brower, MSW, LCSW
Title
Executive Director
Phone
(973) 835-2071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 44SC04571600 NJ Primary

Addresses

Primary practice location

73 Newark Pompton Tpke
Riverdale, NJ 07457-1451

Mailing address

PO Box 252
Pequannock, NJ 07440-0252
Phone (973) 835-2071

National Provider Directory

National Provider Directory

Locations

73 Newark Pompton Tpke
Riverdale, NJ 07457
Phone (973) 835-2071

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": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1356656516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074400252",
            "telephone_number": "973-835-2071",
            "fax_number": "973-835-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571451",
            "telephone_number": "973-835-2071",
            "fax_number": "973-835-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COUNSELING MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "BROWER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-835-2071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "44SC04571600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.