Boutique Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BOUTIQUE COUNSELING

Practice address

360 Mulberry St
Newark, NJ 07102-3415

Phone

(732) 655-4991

NPI assigned

Apr 26, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Vanessa Nicole Russo, LPCNPI 1457773970

Title

Owner

Phone

(732) 655-4991

Specialties & licenses 1

Addresses

Other names 1

• Elevated Therapeutics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vanessa Russo

  • Mental Health Counselor
  • Westampton, NJ
  • NPI 1457773970
  NPD Authorized official

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1508554726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MULBERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MULBERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023415",
            "telephone_number": "732-655-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUTIQUE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-655-4991",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevated Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrei Botea, M.D.
• Vivian Botero-Nebel, DMD
• Afraim Botros, RPH
• Abbas Boukheir, DMD
• Whitney Chairce Boursiquot
• Chifaa Bouzidi, M.D.
• Zakia Dele Bowen, MD
• Sophia Lily Boxerman
• Lucille J Boyajy
• Dondi Boyd, ATC

• Mental Health Counselor in Newark, NJ
• Providers in Newark, 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 Apr 26, 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.