Organization Active NPI

Self Empowering Journeys, LLC

  • Marriage & Family Therapist
  • Pine Brook, NJ
National Provider Identifier
1508288465
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37F100166600 Issued in NJ
Legal business name
SELF EMPOWERING JOURNEYS, LLC
Practice address
330 Changebridge Rd
Montville Executive Suites
Pine Brook, NJ 07058-9839
Phone
(201) 428-7733
NPI assigned
Jan 13, 2014
Last updated
Jan 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
Mrs. Amisha Desai, MPS,LMFTNPI 1619273430
Title
Owner
Phone
(201) 428-7733

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
Marriage & Family Therapist 106H00000X 37F100166600 NJ Primary

Addresses

Primary practice location

330 Changebridge Rd
Montville Executive Suites
Pine Brook, NJ 07058-9839

Mailing address

9 Gunthers VW
Towaco, NJ 07082-1359
Phone (201) 428-7733

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": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1508288465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GUNTHERS VW",
            "city": "TOWACO",
            "state": "NJ",
            "postal_code": "070821359",
            "telephone_number": "201-428-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CHANGEBRIDGE RD",
            "address_2": "MONTVILLE EXECUTIVE SUITES",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589839",
            "telephone_number": "201-428-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF EMPOWERING JOURNEYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "AMISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-428-7733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPS,LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37F100166600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.