Andreach Counseling Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ANDREACH COUNSELING GROUP LLC

Practice address

302 Hawthorne Ave Ste 6
Point Pleasant Beach, NJ 08742-2539

Phone

(732) 903-7012

Fax

(732) 903-7135

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jason M Andreach, LCSWNPI 1740258193

Title

Owner

Phone

(732) 701-9363

Specialties & licenses 1

Addresses

Other names 1

• JASON ANDREACH LCSW Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Jason Michael Andreach, LCSW

  • Clinical Social Worker
  • Point Pleasant, NJ
  • NPI 1740258193
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709337600000",
    "number": "1851088488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 SHADY GLEN AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424245",
            "telephone_number": "732-701-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HAWTHORNE AVE STE 6",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "087422539",
            "telephone_number": "732-903-7012",
            "fax_number": "732-903-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREACH COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "ANDREACH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-701-9363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JASON ANDREACH LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JASON ANDREACH LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Point Pleasant Beach, NJ
• Providers in Point Pleasant Beach, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.