Organization Active NPI

The New Center for Counseling and Psychotherapy, LLC

  • Clinical Psychologist
  • Ship Bottom, NJ
National Provider Identifier
1386695070
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100351300 Issued in NJ
Legal business name
THE NEW CENTER FOR COUNSELING AND PSYCHOTHERAPY, LLC
Practice address
816 Long Beach Blvd
Second Floor, Unit 3
Ship Bottom, NJ 08008-4608
Phone
(609) 494-0009
Fax
(609) 660-2275
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Dr. Don Eugene Gibbons, PH.D.
Title
Partner
Phone
(609) 494-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 35S100351300 NJ Primary

Addresses

Primary practice location

816 Long Beach Blvd
Second Floor, Unit 3
Ship Bottom, NJ 08008-4608

Mailing address

152 Brigantine Rd
Manahawkin, NJ 08050-1308
Phone (609) 494-0009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229001242 NJ Part B Supplier - Clinic/Group Practice 1557332301 Receives reassigned benefits from 1 practitioner
Practice locations: Manahawkin, NJ

National Provider Directory

National Provider Directory

Locations

848C W Bay Ave
Barnegat, NJ 08005
Phone (609) 660-8399

675 Route 72 E
Manahawkin, NJ 08050
Phone (609) 494-0009

703 Mill Creek Rd
Ste G1
Manahawkin, NJ 08050
Phone (609) 494-0009

703 Mill Creek Rd
#G1
Manahawkin, NJ 08050
Phone (609) 494-0009

816 Long Beach Blvd
Ste 3
Ship Bottom, NJ 08008
Phone (609) 494-0009

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1386695070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BRIGANTINE RD",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080501308",
            "telephone_number": "609-494-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 LONG BEACH BLVD",
            "address_2": "SECOND FLOOR, UNIT 3",
            "city": "SHIP BOTTOM",
            "state": "NJ",
            "postal_code": "080084608",
            "telephone_number": "609-494-0009",
            "fax_number": "609-660-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEW CENTER FOR COUNSELING AND PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "609-494-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100351300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ship Bottom, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.