Explore Transform LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EXPLORE TRANSFORM LLC

Practice address

235 Orchard PL
Ridgewood, NJ 07450-4903

Phone

(201) 779-6917

NPI assigned

Aug 25, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Chris Warren-Dickins, LPCNPI 1568957033

Title

Owner

Phone

(201) 779-6917

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris D Warren Dickins, LPC

  • Professional Counselor
  • Ridgewood, NJ
  • NPI 1568957033
  NPD Authorized official

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1770202467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E RIDGEWOOD AVE # 1484",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503815",
            "telephone_number": "201-779-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 ORCHARD PL",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504903",
            "telephone_number": "201-779-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPLORE TRANSFORM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "WARREN-DICKINS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-779-6917",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "37PC00618700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzannah L. B. Espinosa, PH.D.
• Gabrielle Esposito
• Susan L Esserman, LCSW, IBCLC, LCCE
• Patricia Esty, PHARM D
• Eunice Europa, LCSW
• Ann Faicco, RDCDN
• Faloon Medical, LLC
• Michael Faloon, M.D.
• Family Chiropractors of Ridgewood
• Family Dynamics LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.