NPIMap

Organization Active NPI

Deeper Change: Personal Growth, Therapy and Counseling Group

  • Marriage & Family Therapist
  • South Plainfield, NJ
National Provider Identifier
1851875181
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
DEEPER CHANGE: PERSONAL GROWTH, THERAPY AND COUNSELING GROUP
Practice address
1550 Park Ave Ste 101
South Plainfield, NJ 07080-5565
Phone
(089) 279-6705
Fax
(089) 205-0064
NPI assigned
Sep 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Authorized official

Name
Ms. Jeanette Williams, LMFTNPI 1306358510
Title
Clinical Director
Phone
(089) 279-6705

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
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1550 Park Ave Ste 101
South Plainfield, NJ 07080-5565

Mailing address

1550 Park Ave Ste 101
South Plainfield, NJ 07080-5565
Phone (089) 279-6705

Other practice location 1

730 Columbus Ave Apt 1C
New York, NY 10025-6664
Phone (908) 274-4451

National Provider Directory

National Provider Directory

Locations

1550 Park Ave
Ste 101
South Plainfield, NJ 07080
Phone (908) 279-6705

Practitioners & affiliated clinicians

Practitioners 4

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": "1537574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601683200000",
    "number": "1851875181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 PARK AVE STE 101",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805565",
            "telephone_number": "089-279-6705",
            "fax_number": "089-205-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 PARK AVE STE 101",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805565",
            "telephone_number": "089-279-6705",
            "fax_number": "089-205-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Columbus Ave Apt 1C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100256664",
            "country_code": "US",
            "telephone_number": "908-274-4451",
            "fax_number": "908-205-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEEPER CHANGE: PERSONAL GROWTH, THERAPY AND COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-22",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "089-279-6705",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.