NPIMap

Organization Active NPI

Mind Menders Counseling, LLC

  • Professional Counselor
  • Hopatcong, NJ
National Provider Identifier
1750889150
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00599200 Issued in NJ
Legal business name
MIND MENDERS COUNSELING, LLC
Practice address
205 Dupont Ave
Hopatcong, NJ 07843-1786
Phone
(917) 747-0097
NPI assigned
Jan 31, 2018
Last updated
Jan 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Victoria Camacho, MA, LPC, NCCNPI 1568962710
Title
Co-Founder, Registered Agent
Phone
(917) 747-0097

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00599200 NJ
Professional Counselor 101YP2500X 37PC00599200 NJ Primary
Clinical Social Worker 1041C0700X 44SL06205800 NJ
Clinical Social Worker 1041C0700X 44SL06154300 NJ

Addresses

Primary practice location

205 Dupont Ave
Hopatcong, NJ 07843-1786

Mailing address

205 Dupont Ave
Hopatcong, NJ 07843-1786
Phone (917) 747-0097

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1750889150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DUPONT AVE",
            "city": "HOPATCONG",
            "state": "NJ",
            "postal_code": "078431786",
            "telephone_number": "917-747-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 DUPONT AVE",
            "city": "HOPATCONG",
            "state": "NJ",
            "postal_code": "078431786",
            "telephone_number": "917-747-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MENDERS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CO-FOUNDER, REGISTERED AGENT",
        "authorized_official_telephone_number": "917-747-0097",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00599200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00599200",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06205800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06154300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopatcong, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.