Active NPI
Jersey Shore Behavioral Group
- Mental Health Counselor
- Manasquan, NJ
National Provider Identifier
1568043354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- JERSEY SHORE BEHAVIORAL GROUP
- Practice address
- 2517 Highway 35 Ste C102
Manasquan, NJ 08736-1910 - Phone
- (848) 240-8955
- NPI assigned
- Apr 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Salvatore Lograsso, LCSW
- Title
- Founder
- Phone
- (848) 240-8955
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2517 Highway 35 Ste C102
Manasquan, NJ 08736-1910
Mailing address
662 Rolling Hills CT
Brick, NJ 08724-1177
Phone (848) 240-8955
Other practice location 1
2517 Highway 35 Ste C102
Manasquan, NJ 08736-1910
Phone (848) 240-8955
National Provider Directory
National Provider DirectoryLocations
2517 Highway 35
Ste C102
Manasquan, NJ 08736
Phone (848) 240-8955
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Brick, NJ
- NPI 1639421134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618358400000",
"number": "1568043354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "662 ROLLING HILLS CT",
"city": "BRICK",
"state": "NJ",
"postal_code": "087241177",
"telephone_number": "848-240-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 HIGHWAY 35 STE C102",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087361910",
"telephone_number": "848-240-8955"
}
],
"practiceLocations": [
{
"address_1": "2517 Highway 35 Ste C102",
"address_purpose": "LOCATION",
"city": "Manasquan",
"state": "NJ",
"postal_code": "087361910",
"country_code": "US",
"telephone_number": "848-240-8955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JERSEY SHORE BEHAVIORAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-14",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A",
"authorized_official_last_name": "LOGRASSO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "SALVATORE",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "848-240-8955",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manasquan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.