Soul Work LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SOUL WORK LLC

Doing business as

Soul Work Counseling Services

Practice address

1 Bethany Rd Ste 69
Hazlet, NJ 07730-1668

Phone

(732) 600-0342

NPI assigned

Sep 18, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Passanisi, LPC, LCADCNPI 1861907982

Title

Psychotherapist

Phone

(732) 600-0342

Specialties & licenses 3

Addresses

Other names 1

• Soul Work Counseling Services Doing business as

Practitioners 1

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

• Kelly Ann Passanisi, LPC, LCADC, NCC

  • Counselor
  • Hazlet, NJ
  • NPI 1861907982

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1851907414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BROOK ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015802",
            "telephone_number": "732-600-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 69",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301668",
            "telephone_number": "732-600-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL WORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "PASSANISI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "732-600-0342",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soul Work Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Smith
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• Lynn E Snyder, PT
• Pedro A Solis, MD
• Alexandria Kate Sosa Mistry, LCSW
• Southshore Medical Associates, LLC
• Charles R Spatz, DPM
• Speech Start LLC
• Elizabeth Spina, MA CCC SLP SLS
• Srinivas Pavuluri, MD, PA

• Professional Counselor in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.