Collective Mind Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COLLECTIVE MIND COUNSELING, LLC

Practice address

145 N Franklin Tpke Ste 110
Ramsey, NJ 07446-1634

Phone

(201) 574-7065

Fax

(201) 574-8539

NPI assigned

May 5, 2021

Organization subpart

No

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

Authorized official

Name

Andrew Pansky, LCSW, LCADCNPI 1811321813

Title

Owner

Phone

(201) 574-7065

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Andrew Samuel Pansky, LCSW, LCADC

  • Clinical Social Worker
  • Ramsey, NJ
  • NPI 1811321813

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1811570948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SOMERSET DR APT 27K",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109016971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N FRANKLIN TPKE STE 110",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461634",
            "telephone_number": "201-574-7065",
            "fax_number": "201-574-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE MIND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "PANSKY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-574-7065",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Erica Rachel Civerchia, BS, MS, OTR/L
• Cloverleaf Counseling LLC
• Taylor Cobb
• Daniel Ricardo Cohen, M.D.
• Jill Cohen
• Dina Comparetto, COTA/L
• Jeffrey S Cooper, DDS MSD
• Cova Laboratories LLC
• Roger Coven, M.D.
• Sarah Coya

• Clinical Social Worker in Ramsey, NJ
• Providers in Ramsey, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.