Organization Active NPI

Landmark Center for Holistic Health & Wellness

  • Addiction (Substance Use Disorder) Counselor
  • Jersey City, NJ
National Provider Identifier
1639519978
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2000563 Issued in NJ
Legal business name
LANDMARK CENTER FOR HOLISTIC HEALTH & WELLNESS
Practice address
253 Martin Luther King Jr Dr
Jersey City, NJ 07305-3427
Phone
(201) 451-8888
Fax
(866) 521-3486
NPI assigned
Jul 1, 2013
Organization subpart
Yes
Parent organization
LANDMARK MANAGEMENT GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Mr. Michael Minor
Title
Ceo
Phone
(973) 343-1399

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 2000563 NJ Primary
Community Health Clinic/Center 261QC1500X 2000563 NJ

Addresses

Primary practice location

253 Martin Luther King Jr Dr
Jersey City, NJ 07305-3427

Mailing address

253 Martin Luther King Jr Dr
Jersey City, NJ 07305-3427
Phone (201) 451-8888

National Provider Directory

National Provider Directory

Locations

253 Martin Luther King Jr Dr
Jersey City, NJ 07305
Phone (201) 332-7072

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1639519978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 MARTIN LUTHER KING JR DR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053427",
            "telephone_number": "201-451-8888",
            "fax_number": "866-521-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 MARTIN LUTHER KING JR DR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053427",
            "telephone_number": "201-451-8888",
            "fax_number": "866-521-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK CENTER FOR HOLISTIC HEALTH & WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANDMARK MANAGEMENT GROUP, INC",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-343-1399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "2000563",
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NJ",
            "license": "2000563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.