NPIMap

Organization Active NPI

Johnson & Associates Counseling & Consultation Group, PC

  • Addiction (Substance Use Disorder) Counselor
  • East Orange, NJ
National Provider Identifier
1417053000
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
JOHNSON & ASSOCIATES COUNSELING & CONSULTATION GROUP, PC
Practice address
220 S Harrison St # a
East Orange, NJ 07018-1401
Phone
(973) 677-7053
Fax
(973) 677-7050
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Thomas Johnson Sr., LPC, LCADC
Title
Preseident Ceo
Phone
(973) 677-7053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X NJ Primary

Addresses

Primary practice location

220 S Harrison St # a
East Orange, NJ 07018-1401

Mailing address

220 S Harrison St # a
East Orange, NJ 07018-1401
Phone (973) 677-7053

Other identifiers 1

IdentifierTypeStateIssuer
0078093MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Johnson Associates Counseling Consultation Group PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

220 S Harrison St
#A
East Orange, NJ 07018
Phone (973) 677-7053

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417053000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S HARRISON ST # A",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181401",
            "telephone_number": "973-677-7053",
            "fax_number": "973-677-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S HARRISON ST # A",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181401",
            "telephone_number": "973-677-7053",
            "fax_number": "973-677-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON & ASSOCIATES COUNSELING & CONSULTATION GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESEIDENT CEO",
        "authorized_official_telephone_number": "973-677-7053",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078093",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.