Organization Active NPI

Jersey Shore Behavioral Group

  • Mental Health Counselor
  • Manasquan, NJ
National Provider Identifier
1568043354
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
John Salvatore Lograsso, LCSWNPI 1639421134
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.