Organization Active NPI

La Villa Multi-Services Agency, Inc.

Doing business as La Villa Agency

  • Voluntary or Charitable Agency
  • Passaic, NJ
National Provider Identifier
1760709513
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
LA VILLA MULTI-SERVICES AGENCY, INC.
Doing business as
La Villa Agency
Practice address
100-102 Passaic Street
Passaic, NJ 07055
Phone
(973) 928-2280
Fax
(973) 928-2281
NPI assigned
May 3, 2010
Last updated
May 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Authorized official

Name
Ms. Jenny Rivera, MSW
Title
Ceo
Phone
(973) 230-7181

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary
Counselor 101Y00000X
Counseling Psychologist 103TC1900X
Group Psychotherapy Psychologist 103TP2701X
Social Worker 104100000X
School Social Worker 1041S0200X

Addresses

Primary practice location

100-102 Passaic Street
Passaic, NJ 07055

Mailing address

663 Mount Prospect Ave Ste 2
100-102 Passaic St., Passaic, NJ 07055
Newark, NJ 07104-3166
Phone (973) 230-7181

Other names 1

  • La Villa Agency Doing business as

National Provider Directory

National Provider Directory

Locations

663 Mount Prospect Ave
Ste 2
Newark, NJ 07104

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1760709513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 MOUNT PROSPECT AVE STE 2",
            "address_2": "100-102 PASSAIC ST., PASSAIC, NJ 07055",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043166",
            "telephone_number": "973-230-7181",
            "fax_number": "973-230-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100-102 PASSAIC STREET",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055",
            "telephone_number": "973-928-2280",
            "fax_number": "973-928-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VILLA MULTI-SERVICES AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-230-7181",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Villa Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.