NPIMap

Organization Active NPI

Main St Counseling Center

  • Community/Behavioral Health Agency
  • West Orange, NJ
National Provider Identifier
1720417876
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SL05560300 Issued in NJ
Legal business name
MAIN ST COUNSELING CENTER
Practice address
8 Marcella Ave
West Orange, NJ 07052-4164
Phone
(973) 736-2041
Fax
(973) 669-9683
NPI assigned
Nov 8, 2013
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Mary P Duguid, LCSWNPI 1033245535
Title
Clinical Director
Phone
(973) 736-2041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SL05560300 NJ Primary

Addresses

Primary practice location

8 Marcella Ave
West Orange, NJ 07052-4164

Mailing address

8 Marcella Ave
West Orange, NJ 07052-4164
Phone (973) 736-2041

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1720417876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MARCELLA AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524164",
            "telephone_number": "973-736-2041",
            "fax_number": "973-669-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MARCELLA AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524164",
            "telephone_number": "973-736-2041",
            "fax_number": "973-669-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN ST COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "DUGUID",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "973-736-2041",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SL05560300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.