Organization Active NPI

My Counseling Canvas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Scotch Plains, NJ
National Provider Identifier
1548869027
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MY COUNSELING CANVAS
Practice address
536 Park Ave Unit 404
Scotch Plains, NJ 07076-6820
Phone
(862) 250-5303
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Paige King, LCSWNPI 1063011948
Title
Owner
Phone
(862) 250-5303

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

536 Park Ave Unit 404
Scotch Plains, NJ 07076-6820

Mailing address

PO Box 404
Scotch Plains, NJ 07076-0404
Phone (862) 250-5303

National Provider Directory

National Provider Directory
Tax ID family
My Counseling Canvas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

536 Park Ave
Unit 404
Scotch Plains, NJ 07076
Phone (862) 250-5303

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": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1548869027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070760404",
            "telephone_number": "862-250-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 PARK AVE UNIT 404",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070766820",
            "telephone_number": "862-250-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY COUNSELING CANVAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-250-5303",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.