Active NPI
La Villa Multi-Services Agency, Inc.
Doing business as La Villa Agency
- Voluntary or Charitable Agency
- Passaic, NJ
National Provider Identifier
1760709513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- 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, 2010
- 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. Jenny Rivera, MSW
- Title
- Ceo
- Phone
- (973) 230-7181
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.