Jeffrie Popplewell LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

JEFFRIE POPPLEWELL LLC

Doing business as

Christian Counseling Association

Practice address

770 Anderson Ave Apt 14K
Cliffside Park, NJ 07010-2183

Phone

(201) 957-3497

Fax

(201) 886-9531

NPI assigned

Oct 17, 2018

Last updated

Oct 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrie Popplewell, MA, LPT, LCADC,

Title

President/Executive Director

Phone

(201) 886-9531

Specialties & licenses 1

Addresses

Other names 1

• Christian Counseling Association Doing business as

Tax ID family

Christian Counseling Association2 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.

• Jeffrie Popplewell LLC

  dba Christian Counseling Association

  • Addiction (Substance Use Disorder) Counselor
  • Lebanon, NJ
  • NPI 1871068916
  NPD tax ID

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1841766813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 ANDERSON AVE APT 14K",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102183",
            "telephone_number": "201-957-3497",
            "fax_number": "201-886-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 ANDERSON AVE APT 14K",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102183",
            "telephone_number": "201-957-3497",
            "fax_number": "201-886-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFRIE POPPLEWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "POPPLEWELL",
        "authorized_official_first_name": "JEFFRIE",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-886-9531",
        "authorized_official_credential": "MA, LPT, LCADC,"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Counseling Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Substance Abuse Rehabilitation Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.