NPIMap

Organization Active NPI

Youth Consultation Service

  • Community/Behavioral Health Agency
  • Camden, NJ
National Provider Identifier
1801168885
Registry record updated Feb 6, 2012
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Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTH CONSULTATION SERVICE
Practice address
517 Cooper St
Camden, NJ 08102-1210
Phone
(856) 225-1250
NPI assigned
Feb 6, 2012
Last updated
Feb 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Mr. Richard Mingoia
Title
President Ceo
Phone
(973) 482-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NJ Primary

Addresses

Primary practice location

517 Cooper St
Camden, NJ 08102-1210

Mailing address

284 Broadway
Newark, NJ 07104-4003
Phone (973) 482-8411

Other identifiers 1

IdentifierTypeStateIssuer
0268810MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Youth Consultation Service Inc98 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1801168885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044003",
            "telephone_number": "973-482-8411",
            "fax_number": "973-482-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 COOPER ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021210",
            "telephone_number": "856-225-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH CONSULTATION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "MINGOIA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "973-482-8411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268810",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.