Active NPI
Suhail S Jarroush, PHD, DCH
- Mental Health Counselor
- Lincoln Park, NJ
National Provider Identifier
1861592537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 212 Main St Ste a
Lincoln Park, NJ 07035-1786 - Phone
- (973) 686-9100
- Fax
- (973) 686-9111
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NJ | ||
| Pastoral Counselor | 101YP1600X | NJ | ||
| Specialist | 174400000X | NJ | ||
| Massage Therapist | 225700000X | NJ | ||
| Mental Health Counselor | 101YM0800X | NJ | Primary | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NJ | ||
| Marriage & Family Therapist | 106H00000X | NJ | ||
| Behavior Analyst | 103K00000X | NJ |
Addresses
Primary practice location
212 Main St Ste a
Lincoln Park, NJ 07035-1786
Mailing address
15 Stockton Dr
Kinnelon, NJ 07405-2965
Phone (973) 686-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1861592537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 STOCKTON DR",
"city": "KINNELON",
"state": "NJ",
"postal_code": "074052965",
"telephone_number": "973-686-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 MAIN ST STE A",
"city": "LINCOLN PARK",
"state": "NJ",
"postal_code": "070351786",
"telephone_number": "973-686-9100",
"fax_number": "973-686-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARROUSH",
"first_name": "SUHAIL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHD, DCH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.