On Your Mark Teen Counseling Center, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

ON YOUR MARK TEEN COUNSELING CENTER, LLC

Practice address

605 Valley Rd Ste 4
Upper Montclair, NJ 07043-1455

Phone

(973) 746-2500

Fax

(973) 746-2502

NPI assigned

Jan 23, 2019

Last updated

Jan 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Christina Papasso, LCSW

Title

Owner/Director

Phone

(973) 885-3712

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Lago, LSW

  • Social Worker
  • Upper Montclair, NJ
  • NPI 1740951060
  NPD (past)
• Erica Lee Rasmussen, LSW

  • Clinical Social Worker
  • Montclair, NJ
  • NPI 1861941387
  NPD (past)

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1386108488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43701",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070430701",
            "telephone_number": "973-746-2500",
            "fax_number": "973-746-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 VALLEY RD STE 4",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431455",
            "telephone_number": "973-746-2500",
            "fax_number": "973-746-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON YOUR MARK TEEN COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "PAPASSO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "973-885-3712",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861737421",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montclair Pharmacy RX LLC (Montclair Pharmacy)
• Montclair Pharmacy RX LLC (Montclair Pharmacy)
• Montclair Pharmacy RX LLC
• Konniesha M Moulton, LMFT
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 00298)
• Sarah Louise Otazo, FNTP
• Jennifer Ilene Otero
• Adriana Cristina Pacini
• Claudia Pascale, PH.D.
• Pediatric & Adolescent Therapy Associates LLC

• Adolescent and Children Mental Health Clinic/Center in Upper Montclair, NJ
• Providers in Upper Montclair, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.