Individual provider Active NPI

Jeffrey Pospis, LPC, LCADC, CCS

  • Mental Health Counselor
  • Cedar Knolls, NJ
National Provider Identifier
1356863344
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00746800 Issued in NJ
Practice address
7 E Frederick PL Ste 700
Cedar Knolls, NJ 07927-1816
Phone
(551) 404-1401
NPI assigned
Jul 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00233100 NJ
Mental Health Counselor 101YM0800X 37AC00336100 NJ
Mental Health Counselor 101YM0800X 37PC00746800 NJ Primary

Addresses

Primary practice location

7 E Frederick PL Ste 700
Cedar Knolls, NJ 07927-1816

Mailing address

71 Foothill Dr
Lincoln Park, NJ 07035-1923
Phone (551) 404-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00233100NJMDAddiction (Substance Use Disorder) Counselor
37AC00336100NJMDMental Health Counselor
37PC00746800NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1356863344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 FOOTHILL DR",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351923",
            "telephone_number": "551-404-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E FREDERICK PL STE 700",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271816",
            "telephone_number": "551-404-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSPIS",
        "first_name": "JEFFREY",
        "credential": "LPC, LCADC, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-08-16",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00233100",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00336100",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00746800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.