Individual provider Active NPI

Joseph Manuel Gandarillas Jr.

  • Mental Health Counselor
  • Montclair, NJ
National Provider Identifier
1497555809
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC01123700 Issued in NJ
Practice address
325 Claremont Ave Ste 5
Montclair, NJ 07042-2218
Phone
(973) 768-6953
NPI assigned
Mar 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC01123700 NJ Primary

Addresses

Primary practice location

325 Claremont Ave Ste 5
Montclair, NJ 07042-2218

Mailing address

207 Walnut St
Montclair, NJ 07042-2925
Phone (973) 768-6953

Other practice location 1

245C Nassau St
Princeton, NJ 08540-4619
Phone (609) 375-8727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC01123700NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1497555809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WALNUT ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422925",
            "telephone_number": "973-768-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLAREMONT AVE STE 5",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422218",
            "telephone_number": "973-768-6953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245C Nassau St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085404619",
            "country_code": "US",
            "telephone_number": "609-375-8727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDARILLAS",
        "first_name": "JOSEPH",
        "middle_name": "MANUEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01123700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.