Journey Counseling Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05668700 Issued in NJ

Legal business name

JOURNEY COUNSELING CENTER LLC

Practice address

17 Newark Bay CT
Bayonne, NJ 07002-1904

Phone

(201) 320-8130

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Victor Hugo Llerena, LCSWNPI 1043636632

Title

President

Phone

(201) 320-8130

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Victor Llerena, LSW

  • Clinical Social Worker
  • Bayonne, NJ
  • NPI 1043636632
  Medicare reassignment NPD Authorized official
• Ketty Mary Musharbash, LSW

  • Social Worker
  • Bayonne, NJ
  • NPI 1396206660
  NPD (past)

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1871027763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NEWARK BAY CT",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021904",
            "telephone_number": "201-320-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NEWARK BAY CT",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021904",
            "telephone_number": "201-320-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "LLERENA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "HUGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-320-8130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05668700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa D Jones, LCSW
• Ruth Jones, OD
• Shera Jones
• Jordan M. Alter, D.D.S.
• Zamara Joseph
• Juluru P. Rao, M.D., P.a.
• Linda M June, PHD
• K & L Wellness NP PC
• K R Wignarajan
• Maria Kaldes

• Clinical Social Worker in Bayonne, NJ
• Providers in Bayonne, 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 Apr 20, 2017; 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.