New Life Counseling and Mental Health Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00472100 Issued in NJ

Legal business name

NEW LIFE COUNSELING AND MENTAL HEALTH SERVICES

Practice address

12 Prospect St
Bloomfield, NJ 07003-3211

Phone

(973) 748-0847

NPI assigned

Dec 9, 2013

Last updated

Dec 9, 2013By 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

Mr. Charles Idris Webb, LCSW

Title

Lincensed Clincal Social Worker

Phone

(973) 748-0847

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1639500101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PROSPECT ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033211",
            "telephone_number": "973-748-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PROSPECT ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033211",
            "telephone_number": "973-748-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE COUNSELING AND MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "IDRIS",
        "authorized_official_title_or_position": "LINCENSED CLINCAL SOCIAL WORKER",
        "authorized_official_telephone_number": "973-748-0847",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC00854200",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00472100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.