Take Courage Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00409200 Issued in NJ

Legal business name

TAKE COURAGE COUNSELING, LLC

Practice address

1000 Route 34
Building B, Suite 302
Matawan, NJ 07747-3473

Phone

(732) 705-1336

NPI assigned

May 12, 2017

Last updated

May 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Hernandez, LPC,NCC, ACS

Title

Owner/Counselor

Phone

(732) 705-1336

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1629505391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 34",
            "address_2": "BUILDING B, SUITE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473473",
            "telephone_number": "732-705-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 34",
            "address_2": "BUILDING B, SUITE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473473",
            "telephone_number": "732-705-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE COURAGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "732-705-1336",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC,NCC, ACS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00409200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Liza Supan
• Laurence David Sussman, DDS
• Marie Swanson, D.C.
• Synergy Therapy Services, LLC
• Adrianna Tacopino
• Jessica Tallini
• Mayra A Tamayo, DC
• Tao & Zen Acupuncture LLC
• Joseph P Tarallo Jr., R.PH.
• Sandra Ann Tarallo, R.PH.

• Professional Counselor in Matawan, NJ
• Providers in Matawan, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.