Individual provider Active NPI

Titania Grant, LPC

  • Professional Counselor
  • Montclair, NJ
National Provider Identifier
1730661034
Registry record updated Feb 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00679600 Issued in NJ
Practice address
28 Valley Rd Ste 150
Montclair, NJ 07042-2709
Phone
(973) 226-2852
Fax
(973) 251-5967
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00679600 NJ
Professional Counselor 101YP2500X 37PC00679600 NJ Primary

Addresses

Primary practice location

28 Valley Rd Ste 150
Montclair, NJ 07042-2709

Mailing address

34 Myrtle Ave
Irvington, NJ 07111-3310
Phone (973) 226-2852

Other practice location 1

2929 Arch St Ste 1700
Philadelphia, PA 19104-7327
Phone (973) 375-1509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131003088 NJ Practitioner - Mental Health Counselor 2567815020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TG Counseling and Consulting ServicesGroup PAC ID 0749633204, 2 clinicians

Practice addresses (Care Compare)

28 Valley Rd
Suite 150
Montclair, NJ 07042-2709
Phone (973) 226-2852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TG Counseling & Consulting Services Mental Health CurrentSince Aug 16, 2021 Accepting new patients
New Jersey Behavioral Health P.C PastSince Jan 1, 2023 Accepting new patients
PHC of Buffalo Grove Clinical Psychology Past Accepting new patients

Locations

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

2929 Arch St
Ste 1700
Philadelphia, PA 19104
Phone (609) 934-2597

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1730661034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MYRTLE AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113310",
            "telephone_number": "973-226-2852",
            "fax_number": "973-251-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 VALLEY RD STE 150",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422709",
            "telephone_number": "973-226-2852",
            "fax_number": "973-251-5967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 Arch St Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191047327",
            "country_code": "US",
            "telephone_number": "973-375-1509",
            "fax_number": "973-251-5967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TITANIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00679600",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00679600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.