Second Chance Mental Health Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SECOND CHANCE MENTAL HEALTH COUNSELING

Practice address

185 Main St Apt a
Cliffside Park, NJ 07010-1249

Phone

(717) 475-2907

NPI assigned

Feb 8, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Ansimon Elia Botrous Rezk, LPCNPI 1548756687

Title

Clinician

Phone

(717) 475-2907

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Ansimon Rezk

  • Mental Health Counselor
  • Cliffside Park, NJ
  • NPI 1548756687
  NPD (past) Authorized official

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1811751035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MAIN ST APT A",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101249",
            "telephone_number": "717-475-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MAIN ST APT A",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101249",
            "telephone_number": "717-475-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE MENTAL HEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "REZK",
        "authorized_official_first_name": "ANSIMON",
        "authorized_official_middle_name": "ELIA BOTROUS",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "717-475-2907",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548756687",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaci Santana
• Savia Comunity Counseling LLC
• Timothy Sezar Sayanlar, DO
• Jennifer Schiebel, MSN, CMSRN
• Margaret Schiliro, LCSW-R
• Ahmad Sedehi, DMD
• Atusa Sedehi, DMD
• Sethi MD PA
• Chitra Sethi, MD
• Dhaval Jaymin Shah

• Mental Health Counselor in Cliffside Park, NJ
• Providers in Cliffside Park, 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 Feb 8, 2024; 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.