Our Footprints Counseling Service

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OUR FOOTPRINTS COUNSELING SERVICE

Practice address

291 River Rd
Clifton, NJ 07014-1552

Phone

(862) 755-5487

NPI assigned

Dec 12, 2019

Organization subpart

No

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

Authorized official

Name

Terrell ProctorNPI 1790189603

Title

Director

Phone

(862) 755-5487

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Terrell Proctor, LPC

  • Professional Counselor
  • Clifton, NJ
  • NPI 1790189603
  NPD Authorized official

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1831737592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LINDA LN",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 RIVER RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141552",
            "telephone_number": "862-755-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR FOOTPRINTS COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "862-755-5487"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas S Ortiz Jr.
• Jacqueline Ortiz, LAMFT
• Stacy-Ann Osomode
• Ospt of Clifton LLC
• Michael Ostapeck, D.C.
• Alfredo Ovalle
• William John James Owen, PT, DPT
• Alexander Olusoji Owolabi
• Itzitl Pacheco Riveros
• Francisco Pacheco

• Mental Health Counselor in Clifton, NJ
• Providers in Clifton, 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 Dec 12, 2019; 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.