NPIMap

Organization Active NPI

Grace Abounds Recovery, LLC.

  • Substance Abuse Rehabilitation Facility
  • Matawan, NJ
National Provider Identifier
1689413643
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GRACE ABOUNDS RECOVERY, LLC.
Practice address
114 Route 34
Matawan, NJ 07747-2132
Phone
(732) 696-8162
NPI assigned
May 20, 2024
Organization subpart
Yes
Parent organization
GRACE ABOUNDS COUNSELING & PSYCHOLOGICAL CONSULTINAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Dr. Felicia Etuke, PHDNPI 1932527397
Title
Director
Phone
(732) 696-8162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

114 Route 34
Matawan, NJ 07747-2132

Mailing address

114 Route 34
Matawan, NJ 07747-2132
Phone (732) 696-8162

Other names 2

  • Grace Abounds Counseling & Psychological Consulting Other name
  • Grace Abounds Recovery Other name

National Provider Directory

National Provider Directory
Part of
Grace Abounds Counseling P

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1689413643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ROUTE 34",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472132",
            "telephone_number": "732-696-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 ROUTE 34",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472132",
            "telephone_number": "732-696-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ABOUNDS RECOVERY, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE ABOUNDS COUNSELING & PSYCHOLOGICAL CONSULTIN",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "ETUKE",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-696-8162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Abounds Counseling & Psychological Consulting",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Grace Abounds Recovery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.