Center for Counseling and Mindful Living, LLC

Key facts

NPI

1366829079

Entity type

Organization (NPI type 2)

Primary specialty

Psychologist 103T00000X

Legal business name

CENTER FOR COUNSELING AND MINDFUL LIVING, LLC

Practice address

257 US Highway 22
Suite B
Green Brook, NJ 08812-1807

Phone

(908) 516-8422

NPI assigned

May 1, 2015

Organization subpart

No

Authorized official

Name

Ms. Vanessa H. Chafos, PH.D.

Title

Founder

Phone

(908) 516-8422

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Vanessa Chafos Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 28, 2023.

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1366829079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 629",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085420629",
            "telephone_number": "908-516-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 US HIGHWAY 22",
            "address_2": "SUITE B",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121807",
            "telephone_number": "908-516-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR COUNSELING AND MINDFUL LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "CHAFOS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "908-516-8422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00515300",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanessa Chafos",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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All providers in Green Brook, NJ · Psychologist in New Jersey