Active NPI
Seasons of Life Therapy, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Allendale, NJ
National Provider Identifier
1497460430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Amanda Robin, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780396432 | Other | NJ | NPI OF PROVIDER |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Counselor
- Paramus, NJ
- NPI 1780396432
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.