Journey of Truth Therapeutic Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JOURNEY OF TRUTH THERAPEUTIC SERVICES, LLC

Practice address

106 Straube Center Blvd Ste F114
Pennington, NJ 08534-1449

Phone

(732) 986-9798

NPI assigned

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Selena Gentile, LCSWNPI 1164966503

Title

Owner

Phone

(732) 986-9798

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Selena Gentile, LCSW

  • Clinical Social Worker
  • Long Branch, NJ
  • NPI 1164966503
  NPD Authorized official

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1629657556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MEADOW RD APT 7106",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 STRAUBE CENTER BLVD STE F114",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341449",
            "telephone_number": "732-986-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY OF TRUTH THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "SELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-986-9798",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL TYPE 1 NPI",
            "identifier": "1164966503",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://selena-gentile.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Link to my secure client portal through Simple Practice EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "106 Straube Center Blvd Ste F114",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085341449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer K. Walters, M.Ed., LPC, LLC
• Jocelyn Cooper, LLC
• Victoria Elizabeth Johnsey
• Steven A Johnson, MD
• Krister J. Jones, MD
• Tudor G Jovin, MD
• Aimee A Juliana, PA-C
• Jeffrey Radin Kaiser, MD, MA
• Madhavi Kakarla
• Michael Kalina, DO

• Clinical Social Worker in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.