NPIMap

Organization Active NPI

The Wounded Healer, Inc. D/B/a My Friends House Family Counseling Serv

  • Community/Behavioral Health Agency
  • Berlin, NJ
National Provider Identifier
1396233474
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2000662 Issued in NJ
Legal business name
THE WOUNDED HEALER, INC. D/B/A MY FRIENDS HOUSE FAMILY COUNSELING SERV
Practice address
339 N Route 73
Berlin, NJ 08009-9707
Phone
(856) 669-0292
Fax
(856) 767-2632
NPI assigned
Apr 25, 2018
Last updated
Apr 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Mr. Robert Laguarina Jr.NPI 1710519970
Title
Ceo
Phone
(856) 669-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2000662 NJ Primary

Addresses

Primary practice location

339 N Route 73
Berlin, NJ 08009-9707

Mailing address

339 N Route 73
Berlin, NJ 08009-9707
Phone (856) 669-0292

National Provider Directory

National Provider Directory
Tax ID family
The Wounded Healer Inc Dba My Friends House Family Counseling Serv5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1396233474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 N ROUTE 73",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099707",
            "telephone_number": "856-669-0292",
            "fax_number": "856-767-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 N ROUTE 73",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099707",
            "telephone_number": "856-669-0292",
            "fax_number": "856-767-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOUNDED HEALER, INC. D/B/A MY FRIENDS HOUSE FAMILY COUNSELING SERV",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "LAGUARINA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-669-6900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "2000662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.