Organization Active NPI

Counseling & Therapeutic Services

  • Community/Behavioral Health Agency
  • Northfield, NJ
National Provider Identifier
1497297766
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05441000 Issued in NJ
Legal business name
COUNSELING & THERAPEUTIC SERVICES
Practice address
450 Tilton Rd Ste 250
Northfield, NJ 08225-1260
Phone
(609) 334-4992
NPI assigned
Nov 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Kathleen Siracusa, LCSW
Title
Clinician
Phone
(609) 816-6670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC05441000 NJ Primary

Addresses

Primary practice location

450 Tilton Rd Ste 250
Northfield, NJ 08225-1260

Mailing address

19 Wabash Ave
Linwood, NJ 08221-2000
Phone (609) 816-6670

National Provider Directory

National Provider Directory

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": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1497297766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WABASH AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212000",
            "telephone_number": "609-816-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 TILTON RD STE 250",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251260",
            "telephone_number": "609-334-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "SIRACUSA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "609-816-6670",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05441000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.