Healthy Self Counseling Center LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HEALTHY SELF COUNSELING CENTER LLC

Practice address

250 Washington St Ste A5
Toms River, NJ 08753-7575

Phone

(732) 491-5575

NPI assigned

Jul 2, 2021

Organization subpart

No

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

Authorized official

Name

Kristina Chocolate, MS LPC LCADC NCCNPI 1568829406

Title

Owner/Therapist

Phone

(732) 491-5575

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Kristina Chocolate

  • Professional Counselor
  • Toms River, NJ
  • NPI 1568829406
  NPD Authorized official

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1639740400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WASHINGTON ST STE A5",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537575",
            "telephone_number": "732-491-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WASHINGTON ST STE A5",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537575",
            "telephone_number": "732-491-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SELF COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "CHOCOLATE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "732-491-5575",
        "authorized_official_credential": "MS LPC LCADC NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1568829406",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristina@healthyselfnj.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "250 Washington St Ste A5",
            "city": "Toms River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087537575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.