NPIMap

Organization Active NPI

Phoenix Counseling Center LLC

  • Professional Counselor
  • Metuchen, NJ
National Provider Identifier
1619173184
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00335400 Issued in NJ
Legal business name
PHOENIX COUNSELING CENTER LLC
Practice address
32 Wernik PL Ste F
Metuchen, NJ 08840-2467
Phone
(732) 501-2097
Fax
(848) 229-2732
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Barbara A Macfie, LPC, MA, MDIVNPI 1477619286
Title
Sole Owner
Phone
(732) 501-2097

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 37PC00335400 NJ Primary

Addresses

Primary practice location

32 Wernik PL Ste F
Metuchen, NJ 08840-2467

Mailing address

32 Wernik PL Ste F
Metuchen, NJ 08840-2467
Phone (732) 501-2097

Other identifiers 1

IdentifierTypeStateIssuer
0400185380OtherNJBUSINESS ENTITY FILING NU

Other names 1

  • Phoenix Psychological Associates, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

32 Wernik Pl
Ste F
Metuchen, NJ 08840
Phone (732) 501-2097

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1619173184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WERNIK PL STE F",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402467",
            "telephone_number": "732-501-2097",
            "fax_number": "848-229-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WERNIK PL STE F",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402467",
            "telephone_number": "732-501-2097",
            "fax_number": "848-229-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "MACFIE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "732-501-2097",
        "authorized_official_credential": "LPC, MA, MDIV"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00335400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS ENTITY FILING NU",
            "identifier": "0400185380",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Psychological Associates, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.