Urban Life Counseling Center, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

2000623 Issued in NJ

Legal business name

URBAN LIFE COUNSELING CENTER, INC.

Practice address

220 S Harrison St
East Orange, NJ 07018-1401

Phone

(973) 677-7053

Fax

(973) 677-7050

NPI assigned

Oct 16, 2017

Organization subpart

No

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

Authorized official

Name

Thomas Johnson

Title

Executive Director

Phone

(973) 677-7053

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Urban Life Counseling Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Urban Life Counseling Center, Inc.

  • Adult Mental Health Clinic/Center
  • East Orange, NJ
  • NPI 1972853034
  NPD tax ID

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1710498829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S HARRISON ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181401",
            "telephone_number": "973-677-7053",
            "fax_number": "973-677-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S HARRISON ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181401",
            "telephone_number": "973-677-7053",
            "fax_number": "973-677-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN LIFE COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-677-7053"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "2000623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0314111",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0314129",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United II Care Medical
• United Medical Associates LLC
• Hinesh Upadhyay, M.D.
• Urban Care, LLC
• Urban Healthcare Initiative Program Inc
• Urban Life Counseling Center, Inc.
• Nmandu O Utuk, APN
• Charles Uzoaru, MD
• VA New Jersey Health Care System
• VA Njhcs

• Substance Abuse Rehabilitation Facility in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Substance Abuse Rehabilitation Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.