Organization Active NPI

East Coast Counseling Services

  • Clinical Social Worker
  • Cedar Grove, NJ
National Provider Identifier
1861233264
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EAST COAST COUNSELING SERVICES
Practice address
91 Pompton Ave # 93
Cedar Grove, NJ 07009-2013
Phone
(973) 651-1905
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Kelly Hale, LCSWNPI 1285482182
Title
Psychotherapist
Phone
(973) 651-1905

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

91 Pompton Ave # 93
Cedar Grove, NJ 07009-2013

Mailing address

91 Pompton Ave # 93
Cedar Grove, NJ 07009-2013
Phone (973) 651-1905

National Provider Directory

National Provider Directory

Locations

91 Pompton Ave
#93
Cedar Grove, NJ 07009
Phone (973) 651-1905

Practitioners & affiliated clinicians

Practitioners 1

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": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1861233264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 POMPTON AVE # 93",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092013",
            "telephone_number": "973-651-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 POMPTON AVE # 93",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092013",
            "telephone_number": "973-651-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "973-651-1905",
        "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": []
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.