Organization Active NPI

Counseling Support Services, LLC

  • Community/Behavioral Health Agency
  • Tinton Falls, NJ
National Provider Identifier
1831532910
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05644200 Issued in NJ
Legal business name
COUNSELING SUPPORT SERVICES, LLC
Practice address
97 Apple St Ste 3
Tinton Falls, NJ 07724-2637
Phone
(732) 337-8323
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Taharka Abu SankaraNPI 1043553829
Title
Managing Member
Phone
(732) 337-8323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC05644200 NJ Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 44SC05644200 NJ
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 37LC00174900 NJ

Addresses

Primary practice location

97 Apple St Ste 3
Tinton Falls, NJ 07724-2637

Mailing address

36 Shrewsbury Dr
Long Branch, NJ 07740-7619
Phone (732) 272-1340

National Provider Directory

National Provider Directory
Tax ID family
Counseling Support Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

713 Bangs Ave
Ste 3
Asbury Park, NJ 07712
Phone (732) 272-1340

97 Apple St
Ste 3
Tinton Falls, NJ 07724
Phone (732) 337-8323

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1831532910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SHREWSBURY DR",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077407619",
            "telephone_number": "732-272-1340",
            "fax_number": "732-272-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 APPLE ST STE 3",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242637",
            "telephone_number": "732-337-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "SANKARA",
        "authorized_official_first_name": "TAHARKA",
        "authorized_official_middle_name": "ABU",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-337-8323"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05644200",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "44SC05644200",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "37LC00174900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.