Courage in Time Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05718600 Issued in NJ

Legal business name

COURAGE IN TIME COUNSELING, LLC

Practice address

73 Park St
Montclair, NJ 07042-2903

Phone

(908) 268-0074

NPI assigned

Mar 2, 2017

Organization subpart

No

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

Authorized official

Name

Jillian N Degroot, LCSW

Title

Therapist/Founder

Phone

(908) 268-0074

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1356881890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422903",
            "telephone_number": "908-268-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422903",
            "telephone_number": "908-268-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE IN TIME COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "DEGROOT",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "THERAPIST/FOUNDER",
        "authorized_official_telephone_number": "908-268-0074",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05718600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Montclair, NJ
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• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.