Christine McGowan LPC LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

37PC00538500 Issued in NJ

Legal business name

CHRISTINE MCGOWAN LPC LLC

Practice address

250 Washington St Ste A2
Toms River, NJ 08753-7575

Phone

(848) 251-2462

Fax

(242) 251-2461

NPI assigned

Jul 29, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Christine Marie McGowan, LPC

Title

Owner/Manager

Phone

(732) 859-3163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501286400000",
    "number": "1366966574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RIVERSIDE PL",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "087422649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WASHINGTON ST STE A2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537575",
            "telephone_number": "848-251-2462",
            "fax_number": "242-251-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE MCGOWAN LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-29",
        "last_updated": "2017-07-29",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "732-859-3163",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "37PC00538500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.