Organization Active NPI

The Manzanitas Counseling and Education

  • Clinical Social Worker
  • Highland Park, NJ
National Provider Identifier
1831968684
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE MANZANITAS COUNSELING AND EDUCATION
Practice address
24 N 3Rd Ave Ste 203B
Highland Park, NJ 08904-2482
Phone
(732) 825-7729
Fax
(732) 377-7329
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Mr. Brett Sheldon, LCSW
Title
Owner
Phone
(201) 367-8915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

24 N 3Rd Ave Ste 203B
Highland Park, NJ 08904-2482

Mailing address

27 S 5TH Ave
Highland Park, NJ 08904-2604
Phone (201) 367-8915

National Provider Directory

National Provider Directory

Locations

24 N 3rd Ave
Ste 203B
Highland Park, NJ 08904
Phone (732) 825-7729

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1831968684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 S 5TH AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042604",
            "telephone_number": "201-367-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N 3RD AVE STE 203B",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042482",
            "telephone_number": "732-825-7729",
            "fax_number": "732-377-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MANZANITAS COUNSELING AND EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "SHELDON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-367-8915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.