NPIMap

Organization Active NPI

Lifebalance Counseling and Art Therapy, LLC

  • Community/Behavioral Health Agency
  • Livingston, NJ
National Provider Identifier
1669750501
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37PC000424400 Issued in NJ
Legal business name
LIFEBALANCE COUNSELING AND ART THERAPY, LLC
Practice address
301 S Livingston Ave Ste 205
Livingston, NJ 07039-3929
Phone
(973) 454-6087
NPI assigned
Jul 26, 2011
Last updated
Jul 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Ms. Rita Klachkin, LPC, LCATNPI 1851526156
Title
Owner, Operator
Phone
(973) 454-6087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 001104 NY
Community/Behavioral Health Agency 251S00000X 37PC000424400 NJ Primary

Addresses

Primary practice location

301 S Livingston Ave Ste 205
Livingston, NJ 07039-3929

Mailing address

184 S. Livingston Ave Suite 9181
Livingston, NJ 07039
Phone (973) 454-6087

National Provider Directory

National Provider Directory

Locations

184 S Livingston Ave
Ste 9181
Livingston, NJ 07039

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1669750501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 S. LIVINGSTON AVE SUITE 9181",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-454-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S LIVINGSTON AVE STE 205",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393929",
            "telephone_number": "973-454-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBALANCE COUNSELING AND ART THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "KLACHKIN",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OWNER, OPERATOR",
        "authorized_official_telephone_number": "973-454-6087",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LCAT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "001104",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC000424400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.