Active NPI
Soul Talk Psychotherapy LLC
- Mental Health Counselor
- Montclair, NJ
National Provider Identifier
1720741622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SOUL TALK PSYCHOTHERAPY LLC
- Practice address
- 61 S Fullerton Ave Apt 22
Montclair, NJ 07042-2645 - Phone
- (908) 936-9497
- NPI assigned
- Oct 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Samantha Davies, LPC
- Title
- Ceo
- Phone
- (908) 376-9497
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
61 S Fullerton Ave Apt 22
Montclair, NJ 07042-2645
Mailing address
84 Forest Hill Pkwy Apt 2E
Newark, NJ 07104-4721
Phone (908) 376-9497
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Mental Health Counselor
- Newark, NJ
- NPI 1164721858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636416000000",
"number": "1720741622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 FOREST HILL PKWY APT 2E",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071044721",
"telephone_number": "908-376-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 S FULLERTON AVE APT 22",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422645",
"telephone_number": "908-936-9497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUL TALK PSYCHOTHERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-18",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A",
"authorized_official_last_name": "DAVIES",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "908-376-9497",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.