Organization Active NPI

Integrative Therapy Services LLC

  • Mental Health Counselor
  • Spotswood, NJ
National Provider Identifier
1497249767
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INTEGRATIVE THERAPY SERVICES LLC
Practice address
14 Snowhill St
Spotswood, NJ 08884-1358
Phone
(908) 705-6729
Fax
(732) 837-3062
NPI assigned
Jun 19, 2018
Last updated
May 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Authorized official

Name
Khaled Refai
Title
President
Phone
(908) 705-6729

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Phlebotomy Technician 246RP1900X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

14 Snowhill St
Spotswood, NJ 08884-1358

Mailing address

14 Snowhill St
Spotswood, NJ 08884-1358
Phone (908) 705-6729

National Provider Directory

National Provider Directory
Tax ID family
Integrative Therapy Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1497249767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SNOWHILL ST",
            "city": "SPOTSWOOD",
            "state": "NJ",
            "postal_code": "088841358",
            "telephone_number": "908-705-6729",
            "fax_number": "732-837-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SNOWHILL ST",
            "city": "SPOTSWOOD",
            "state": "NJ",
            "postal_code": "088841358",
            "telephone_number": "908-705-6729",
            "fax_number": "732-837-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "REFAI",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-705-6729"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spotswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.