Organization Active NPI

Westfield Therapy, LLC

  • Professional Counselor
  • Westfield, NJ
National Provider Identifier
1528293776
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00040400 Issued in NJ
Legal business name
WESTFIELD THERAPY, LLC
Practice address
127 S Euclid Ave
Westfield, NJ 07090-5116
Phone
(908) 400-6914
Fax
(973) 857-2972
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Rich Demott, LPC
Title
Owner
Phone
(908) 400-6914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 37PC00040400 NJ Primary

Addresses

Primary practice location

127 S Euclid Ave
Westfield, NJ 07090-5116

Mailing address

127 S Euclid Ave
Westfield, NJ 07090-5116
Phone (908) 400-6914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260505002426 NJ Part B Supplier - Clinic/Group Practice 1052889326 Receives reassigned benefits from 1 practitioner
Practice locations: Whiting, NJ

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.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1528293776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S EUCLID AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070905116",
            "telephone_number": "908-400-6914",
            "fax_number": "973-857-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S EUCLID AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070905116",
            "telephone_number": "908-400-6914",
            "fax_number": "973-857-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTFIELD THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "DEMOTT",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-400-6914",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00040400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.