Active NPI
The Willow Tree Center
- Addiction (Substance Use Disorder) Counselor
- Morris Plains, NJ
National Provider Identifier
1396036042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2000195-07
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2000195-07 | NJ | Primary |
| Professional Counselor | 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 Center
- 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Morris Plains, NJ
- NPI 1033599493
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Morris Plains, NJ
- NPI 1033599493
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
- The Rose House
- The Rose House, a New Jersey Non-Profit Corporation
- The Rose House, a New Jersey Non-Profit Corporation
- The Stop & Shop Supermarket Company LLC
- The Willow Tree Center
- Christina Chase Thompson, BCBA
- Ties to Tomorrow Care Managment
- Elyssa Tiongco-Dee
- Laurie Tortorelli, M.A., BCBA
- Aaron Justus Trevorrow
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.