NPIMap

Organization Active NPI

The Center for Change and Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Middlesex, NJ
National Provider Identifier
1750717005
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00151500 Issued in NJ
Legal business name
THE CENTER FOR CHANGE AND RECOVERY
Practice address
1255 Bound Brook Rd
Middlesex, NJ 08846-1437
Phone
(732) 667-5567
Fax
(732) 667-5568
NPI assigned
Sep 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Marielena Motta, MS LCADC LPCNPI 1841513785
Title
Program Administrator
Phone
(732) 667-5567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 37LC00151500 NJ Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 37PC00419100 NJ

Addresses

Primary practice location

1255 Bound Brook Rd
Middlesex, NJ 08846-1437

Mailing address

1255 Bound Brook Rd
Middlesex, NJ 08846-1437
Phone (732) 667-5567

National Provider Directory

National Provider Directory

Locations

1255 Bound Brook Rd
Middlesex, NJ 08846
Phone (732) 667-5567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1750717005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 BOUND BROOK RD",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461437",
            "telephone_number": "732-667-5567",
            "fax_number": "732-667-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 BOUND BROOK RD",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461437",
            "telephone_number": "732-667-5567",
            "fax_number": "732-667-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR CHANGE AND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "MOTTA",
        "authorized_official_first_name": "MARIELENA",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "732-667-5567",
        "authorized_official_credential": "MS LCADC LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00151500",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00419100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesex, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.