Emerald Counseling Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMERALD COUNSELING SERVICES LLC

Practice address

323 Kerrigan Blvd Apt 4
Newark, NJ 07106-3455

Phone

(908) 913-0677

NPI assigned

Sep 4, 2021

Last updated

Mar 13, 2023By 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

Mr. Avron Isaac, LCSWNPI 1508539883

Title

President/Ceo

Phone

(973) 348-6148

Specialties & licenses 1

Addresses

Locations

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.

• Avron Isaac, LCSW

  • Clinical Social Worker
  • Newark, NJ
  • NPI 1508539883
  NPD Authorized official

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

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1689342446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 KERRIGAN BLVD APT 4",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063455",
            "telephone_number": "908-913-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 KERRIGAN BLVD APT 4",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063455",
            "telephone_number": "908-913-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-04",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "AVRON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "973-348-6148",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.