NPIMap

Organization Active NPI

Counseling Center at Clark, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Robbinsville, NJ
National Provider Identifier
1821878216
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COUNSELING CENTER AT CLARK, LLC
Practice address
691 US Highway 130
Robbinsville, NJ 08691-2207
Phone
(561) 318-4400
NPI assigned
Oct 3, 2023
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Jason Usilton
Title
Director of RCM
Phone
(561) 318-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

691 US Highway 130
Robbinsville, NJ 08691-2207

Mailing address

691 US Highway 130
Robbinsville, NJ 08691-2207

Other names 1

  • Counseling Center at Clark - Robbinsville Other name

National Provider Directory

National Provider Directory
Tax ID family
Counseling Center at Clark - Cherry Hill7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

691 US Highway 130
Robbinsville, NJ 08691
Phone (561) 318-4400

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1821878216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 US HIGHWAY 130",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086912207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 US HIGHWAY 130",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086912207",
            "telephone_number": "561-318-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER AT CLARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "USILTON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "561-318-4400"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Center at Clark - Robbinsville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Robbinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.