Organization Active NPI

Mike Bellamy Counseling LLC

  • Clinical Social Worker
  • Oradell, NJ
National Provider Identifier
1831606862
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIKE BELLAMY COUNSELING LLC
Practice address
297 Kinderkamack Rd Ste 212
Oradell, NJ 07649-1535
Phone
(201) 543-9587
NPI assigned
Dec 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Mike Bellamy, LCSWNPI 1952722365
Title
Principal
Phone
(201) 543-9587

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X 44SC05424200 NJ

Addresses

Primary practice location

297 Kinderkamack Rd Ste 212
Oradell, NJ 07649-1535

Mailing address

70 Willow Ave
Hackensack, NJ 07601-3001
Phone (201) 543-9587

National Provider Directory

National Provider Directory

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": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1831606862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WILLOW AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013001",
            "telephone_number": "201-543-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 KINDERKAMACK RD STE 212",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491535",
            "telephone_number": "201-543-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE BELLAMY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "BELLAMY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "201-543-9587",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05424200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.