Organization Active NPI

NJ Counseling, Training, and Consultation Group, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Verona, NJ
National Provider Identifier
1427282201
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
37FL00160300 Issued in NJ
Legal business name
NJ COUNSELING, TRAINING, AND CONSULTATION GROUP, LLC
Practice address
280 Bloomfield Ave
Verona, NJ 07044-2426
Phone
(201) 259-7229
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Joel M Levine, LCSW,LPC,LCADC,LMFTNPI 1366494072
Title
Therapist
Phone
(201) 259-7229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 37LC00057400 NJ
Adolescent and Children Mental Health Clinic/Center 261QM0855X 37FL00160300 NJ Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 37PC00047500 NJ
Adolescent and Children Mental Health Clinic/Center 261QM0855X 44SC05174000 NJ

Addresses

Primary practice location

280 Bloomfield Ave
Verona, NJ 07044-2426

Mailing address

280 Bloomfield Ave
Verona, NJ 07044-2426
Phone (201) 259-7229

Other identifiers 1

IdentifierTypeStateIssuer
101034BMXOtherNJMEDICARE PROVIDER #

National Provider Directory

National Provider Directory

Locations

280 Bloomfield Ave
Verona, NJ 07044
Phone (973) 731-3663

Practitioners & affiliated clinicians

Practitioners 3

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": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1427282201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442426",
            "telephone_number": "201-259-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442426",
            "telephone_number": "201-259-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ COUNSELING, TRAINING, AND CONSULTATION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "201-259-7229",
        "authorized_official_credential": "LCSW,LPC,LCADC,LMFT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "37LC00057400",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "37FL00160300",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "37PC00047500",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "44SC05174000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "101034BMX",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.