Trace Institute of Counseling

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

TRACE INSTITUTE OF COUNSELING

Practice address

29 Evans Place
Second FLR. Suite 2
Pompton Plains, NJ 07444

Phone

(973) 400-9702

NPI assigned

Jan 2, 2021

Organization subpart

Yes

Parent organization

IN CHRIST FELLOWSHIP MINISTRIES INC.As reported in NPPES

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

Authorized official

Name

William Hampton

Title

President/Ceo

Phone

(908) 468-4683

Specialties & licenses 2

Addresses

Electronic endpoints 1

Part of

Trace Institute of Counseling

Locations

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

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609545600000",
    "number": "1679161079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 CHERRY ST APT C7",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081878",
            "telephone_number": "908-468-4683",
            "fax_number": "866-656-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 EVANS PLACE",
            "address_2": "SECOND FLR. SUITE 2",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "07444",
            "telephone_number": "973-400-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACE INSTITUTE OF COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IN CHRIST FELLOWSHIP MINISTRIES INC.",
        "enumeration_date": "2021-01-02",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "908-468-4683"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "E-mail",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "29 Evans Place",
            "address_2": "Second Flr. Suite 2",
            "city": "Pompton Plains",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07444",
            "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 Jan 2, 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.