Organization Active NPI

Maximum Community Care LLC

  • Mental Health Counselor
  • East Orange, NJ
National Provider Identifier
1457013625
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Mr. Chukwudera Egesionu, LPCNPI 1750902318
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.