Active NPI
Maximum Community Care LLC
- Mental Health Counselor
- East Orange, NJ
National Provider Identifier
1457013625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MAXIMUM COMMUNITY CARE LLC
- Practice address
- 134 Evergreen PL Ste 901
East Orange, NJ 07018-2012 - Phone
- (862) 930-8658
- NPI assigned
- Oct 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chukwudera Egesionu, LPC
- Title
- Ceo
- Phone
- (908) 422-4373
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
134 Evergreen PL Ste 901
East Orange, NJ 07018-2012
Mailing address
134 Evergreen PL Ste 901
East Orange, NJ 07018-2012
Phone (862) 930-8658
National Provider Directory
National Provider DirectoryLocations
134 Evergreen Pl
Ste 901
East Orange, NJ 07018
Phone (862) 930-8658
Practitioners & affiliated clinicians
Practitioners 1
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": "1633478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633478400000",
"number": "1457013625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 EVERGREEN PL STE 901",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182012",
"telephone_number": "862-930-8658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 EVERGREEN PL STE 901",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182012",
"telephone_number": "862-930-8658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIMUM COMMUNITY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-06",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A",
"authorized_official_last_name": "EGESIONU",
"authorized_official_first_name": "CHUKWUDERA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "908-422-4373",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.