Organization Active NPI

Grateful Therapy

  • Clinical Social Worker
  • Hazlet, NJ
National Provider Identifier
1770159188
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GRATEFUL THERAPY
Practice address
32 Village CT
Hazlet, NJ 07730-1533
Phone
(732) 335-1675
Fax
(732) 335-1151
NPI assigned
May 27, 2021
Last updated
Jun 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Daniel Struble, LCSW, LCADCNPI 1114032588
Title
President
Phone
(732) 335-1675

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

32 Village CT
Hazlet, NJ 07730-1533

Mailing address

32 Village CT
Hazlet, NJ 07730-1533
Phone (732) 335-1675

Other identifiers 1

IdentifierTypeStateIssuer
232764MedicaidNJ

Other names 1

  • Daniel Struble, LCSW, LCADC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.strublecounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221013001217 NJ Part B Supplier - Clinic/Group Practice 1052787298 Receives reassigned benefits from 1 practitioner
Practice locations: Hazlet, NJ

National Provider Directory

National Provider Directory

Locations

32 Village Ct
Hazlet, NJ 07730
Phone (732) 335-1675

Practitioners & affiliated clinicians

Practitioners 4

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": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1770159188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301533",
            "telephone_number": "732-335-1675",
            "fax_number": "732-335-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301533",
            "telephone_number": "732-335-1675",
            "fax_number": "732-335-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATEFUL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "STRUBLE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-335-1675",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232764",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.strublecounseling.com",
            "affiliation": "N",
            "endpointDescription": "web site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "32 Village Ct",
            "city": "Hazlet",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077301533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Daniel Struble, LCSW, LCADC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.