Raushanah Reid, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00509100 Issued in NJ

Practice address

59 Main St
West Orange, NJ 07052-5341

Phone

(973) 325-3132

Fax

(973) 789-9625

NPI assigned

Jun 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Supportive Therapeutic Services, LLC

  • Mental Health Counselor
  • West Orange, NJ
  • NPI 1700390549
  NPD Authorized official

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760831572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MAIN ST STE 205A",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525333",
            "telephone_number": "973-325-3132",
            "fax_number": "973-789-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525341",
            "telephone_number": "973-325-3132",
            "fax_number": "973-789-9625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Northfield Ave",
            "address_2": "Suite 208A",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070524795",
            "country_code": "US",
            "telephone_number": "973-731-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "RAUSHANAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00509100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edlyn Regalado
• Regional Women's Health Group, LLC (RWHG Women First Health Center)
• Regional Women's Health Group,LLC (RWHG Partners for Women's Health,PA)
• Rehabilitation Medicine Associates,P.a.
• Abigail Reid
• Sean Patrick Reid, DPT
• Renal Medical Associates LLC
• Selena Rendon, LCSW
• Renee Bovenzi Ibclc LLC
• Resilience Educational Services LLC

• Mental Health Counselor in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.