Courageous Community Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COURAGEOUS COMMUNITY COUNSELING SERVICES

Practice address

260 Cator Ave
Jersey City, NJ 07305-2002

Phone

(732) 419-7353

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Shakia Mayer, LPCNPI 1457918567

Title

Owner

Phone

(732) 419-7353

Specialties & licenses 2

Addresses

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.

• Shakia N Mayer

  • Mental Health Counselor
  • Jersey City, NJ
  • NPI 1457918567
  NPD Authorized official

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546732800000",
    "number": "1508357872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 TOWN SQUARE PL # 273",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101756",
            "telephone_number": "732-419-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CATOR AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052002",
            "telephone_number": "732-419-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS COMMUNITY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2019-01-06",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "SHAKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-419-7353",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00611300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanda Costa, LMSW
• Kaitlin Anna Costello, LSW
• Cottage Homecare Services NJ, LLC
• County of Hudson - Transcend Division
• County Transit Care
• Courthouse Chiropractic & Physical Therapy of Jersey City
• Dianne Cover, LSW
• Darryl Covington
• Tamika Covington, LMSW
• Ashley Cox, RD

• Mental Health Counselor in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; 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.