Back to Center Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05484100 Issued in NJ

Legal business name

BACK TO CENTER COUNSELING, LLC

Practice address

1316 Opdyke Ave
Ocean, NJ 07712-4646

Phone

(908) 902-1356

Fax

(732) 807-3088

NPI assigned

Mar 5, 2014

Last updated

Mar 5, 2014By 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

Gwen Marlatt Vela, LCSWNPI 1154722593

Title

Psychotherapist

Phone

(908) 902-1356

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gwen Marlatt Vela, LCSW

  • Clinical Social Worker
  • Ocean, NJ
  • NPI 1154722593
  Authorized official Same address or phone

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1659797389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 OPDYKE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124646",
            "telephone_number": "908-902-1356",
            "fax_number": "732-807-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 OPDYKE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124646",
            "telephone_number": "908-902-1356",
            "fax_number": "732-807-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO CENTER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "VELA",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "MARLATT",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "908-902-1356",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05484100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantic Center for Aging
• Atlantic Medical Associates
• Atlantic Medical Physicians LLC
• Caitlin Ault, DPT, PT, ATC, LAT
• Pamela Michelle Baccaro, OT
• Madeline M. Badalaty, D.M.D.
• Brett Bagley, LMSW
• Samuel David Balk, MD
• Lisa Veronica Bankes, LPN
• Erinn Barnes, LSW

• Clinical Social Worker in Ocean, NJ
• Providers in Ocean, 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 Mar 5, 2014; 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.