Essential Counseling Therapy Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ESSENTIAL COUNSELING THERAPY SERVICES, LLC

Practice address

660 Tennent Rd Ste 209
Manalapan, NJ 07726-3163

Phone

(732) 351-0411

Fax

(732) 358-0811

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Gloria Servakh, LCSWNPI 1417455767

Title

Owner/Psychotherapist

Phone

(732) 351-0411

Specialties & licenses 1

Addresses

Other names 1

• Gloria Servakh Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Servakh, LCSW

  • Clinical Social Worker
  • Manalapan, NJ
  • NPI 1417455767
  Medicare reassignment Care Compare group Authorized official
• Amanda Scott, LMFT

  • Community Health Worker
  • Worcester, MA
  • NPI 1992151039

  NJ

  Medicare reassignment Care Compare group
• Alexandra Mitchell

  • Social Worker
  • Manalapan, NJ
  • NPI 1851903975
  NPD
• Danielle Ross

  • Clinical Social Worker
  • Manalapan, NJ
  • NPI 1316832785
  NPD
• Stephen Jonathan Salzman, L.P.C

  • Mental Health Counselor
  • Ramsey, NJ
  • NPI 1205233343
  NPD
• Frances Vender, LCSW

  • Clinical Social Worker
  • Iselin, NJ
  • NPI 1134764236
  NPD
• Maureen L Ryan, LCSW

  • Clinical Social Worker
  • Manalapan, NJ
  • NPI 1821586058
  NPD (past)

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1366065740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 TENNENT RD STE 209",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263163",
            "telephone_number": "732-351-0411",
            "fax_number": "732-358-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 TENNENT RD STE 209",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263163",
            "telephone_number": "732-351-0411",
            "fax_number": "732-358-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL COUNSELING THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "SERVAKH",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "732-351-0411",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gloria Servakh",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.