Organization Active NPI

The Willow Tree Center

  • Addiction (Substance Use Disorder) Counselor
  • Morris Plains, NJ
National Provider Identifier
1396036042
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2000195-07 Issued in NJ
Legal business name
THE WILLOW TREE CENTER
Practice address
415 Speedwell Ave
Morris Plains, NJ 07950
Phone
(973) 682-8733
Fax
(973) 682-8734
NPI assigned
Apr 29, 2011
Organization subpart
Yes
Parent organization
THE WILLOW TREE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Mr. Charles Berman, LPC
Title
Assoc Director
Phone
(973) 682-8733

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 2000195-07 NJ Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 37PC0822 NJ

Addresses

Primary practice location

415 Speedwell Ave
Morris Plains, NJ 07950

Mailing address

415 Speedwell Ave
Morris Plains, NJ 07950
Phone (973) 682-8733

National Provider Directory

National Provider Directory
Tax ID family
The Willow Tree Center2 organizations share this tax ID, including this one
Part of
The Willow Tree Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1396036042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SPEEDWELL AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "07950",
            "telephone_number": "973-682-8733",
            "fax_number": "973-682-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SPEEDWELL AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "07950",
            "telephone_number": "973-682-8733",
            "fax_number": "973-682-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLOW TREE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WILLOW TREE CENTER",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ASSOC DIRECTOR",
        "authorized_official_telephone_number": "973-682-8733",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "2000195-07",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC0822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.