Organization Active NPI

Seasons of Life Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Allendale, NJ
National Provider Identifier
1497460430
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SEASONS OF LIFE THERAPY, LLC
Practice address
5 Oakwood Road
#1091
Allendale, NJ 07401
Phone
(201) 681-4686
NPI assigned
Jan 13, 2023
Last updated
Jan 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Ms. Amanda Robin, LPCNPI 1780396432
Title
LPC, Ceo
Phone
(201) 681-4686

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5 Oakwood Road
#1091
Allendale, NJ 07401

Mailing address

501 Route 17 South Ste 1
#1091
Paramus, NJ 07652
Phone (201) 681-4686

Other identifiers 1

IdentifierTypeStateIssuer
1780396432OtherNJNPI OF PROVIDER

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1497460430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ROUTE 17 SOUTH STE 1",
            "address_2": "#1091",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-681-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 OAKWOOD ROAD",
            "address_2": "#1091",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "07401",
            "telephone_number": "201-681-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS OF LIFE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "ROBIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "LPC, CEO",
        "authorized_official_telephone_number": "201-681-4686",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF PROVIDER",
            "identifier": "1780396432",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.