Life Empowerment Counseling Center LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIFE EMPOWERMENT COUNSELING CENTER LLC.

Practice address

310 Chris Gaupp Dr Ste 105
Galloway, NJ 08205-4461

Phone

(609) 652-4040

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Corinne ReillyNPI 1033646336

Title

Owner/Therapist

Phone

(609) 652-4040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corinne Reilly, LCSW

  • Social Worker
  • Galloway, NJ
  • NPI 1033646336
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1467289173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CHRIS GAUPP DR STE 105",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054461",
            "telephone_number": "609-652-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CHRIS GAUPP DR STE 105",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054461",
            "telephone_number": "609-652-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE EMPOWERMENT COUNSELING CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "609-652-4040"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Allan Levite, M.D.
• Kalyn Plaschke Liborio
• Jena Rose Librizzi
• Alexander Lieberman III, M.D.
• Life Balance Health Care, LLC
• Michael Gary Link, MD
• Frances E Loftus, DO
• Richard V Lolla, D.C.
• Dawne Elizabeth Lomangino, LCSW,RPT
• Jared Lombardi

• Clinical Social Worker in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.