Spectrum Counseling Solutions, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00020000 Issued in NJ

Legal business name

SPECTRUM COUNSELING SOLUTIONS, LLC

Practice address

248 Broad St
Suite B
Red Bank, NJ 07701-2020

Phone

(973) 568-1166

Fax

(732) 957-9119

NPI assigned

Jun 22, 2009

Last updated

Jun 22, 2009By 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

Ms. Lisa A. Leidecker, LPC, LCADCNPI 1386755122

Title

Managing Member

Phone

(973) 568-1166

Specialties & licenses 2

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.

• Lisa Anne Leidecker, LPC, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Upper Montclair, NJ
  • NPI 1386755122
  NPD (past) Authorized official

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1689801219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 BROAD ST",
            "address_2": "SUITE B",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012020",
            "telephone_number": "973-568-1166",
            "fax_number": "732-957-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 BROAD ST",
            "address_2": "SUITE B",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012020",
            "telephone_number": "973-568-1166",
            "fax_number": "732-957-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM COUNSELING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "LEIDECKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "973-568-1166",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00057200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00020000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Sorkin, D.O.
• Stephen Thomas Spang, PA-C
• Kristopher Joseph Sparacino, L.AC
• Sean Francis Sparandero
• Lynn Wild Spector, MSW LCSW
• Spectrum Rocks LLC
• Barry W Spence, LCADC
• Karmyn Spino-Chantre
• Spot on Therapy Services OT
• Springpoint at the Atrium, Inc

• Professional Counselor in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.