NPIMap

Organization Active NPI

Guided Life Structures

  • Addiction (Substance Use Disorder) Counselor
  • Somerville, NJ
National Provider Identifier
1356855175
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2000133 Issued in NJ
Legal business name
GUIDED LIFE STRUCTURES
Practice address
75 Veterans Memorial Dr E Ste 205
Somerville, NJ 08876-2949
Phone
(908) 704-0011
Fax
(908) 704-0711
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Eileen Oertel
Title
Executive Director
Phone
(908) 704-0011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 2000133 NJ Primary
Substance Abuse Rehabilitation Facility 324500000X 2000133 NJ

Addresses

Primary practice location

75 Veterans Memorial Dr E Ste 205
Somerville, NJ 08876-2949

Mailing address

75 Veterans Memorial Dr E Ste 205
Somerville, NJ 08876-2949
Phone (908) 704-0011

National Provider Directory

National Provider Directory
Tax ID family
Guided Life Structures4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

75 Veterans Memorial Dr E
Ste 205
Somerville, NJ 08876
Phone (908) 704-0011

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1356855175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VETERANS MEMORIAL DR E STE 205",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762949",
            "telephone_number": "908-704-0011",
            "fax_number": "908-704-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VETERANS MEMORIAL DR E STE 205",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762949",
            "telephone_number": "908-704-0011",
            "fax_number": "908-704-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED LIFE STRUCTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "OERTEL",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-704-0011"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "2000133",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "2000133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.