NPIMap

Organization Active NPI

Jeffrie Popplewell LLC

  • Addiction (Substance Use Disorder) Counselor
  • Lebanon, NJ
National Provider Identifier
1871068916
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
JEFFRIE POPPLEWELL LLC
Doing business as
Christian Counseling Association
Practice address
245 Stanton Mt Rd
Lebanon, NJ 08833-3106
Phone
(201) 957-3497
Fax
(201) 886-9531
NPI assigned
Oct 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Jeffrie Popplewell, MA, LPC, LCADC
Title
Business Owner
Phone
(201) 957-3497

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Pastoral CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP1600X
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

245 Stanton Mt Rd
Lebanon, NJ 08833-3106

Mailing address

300 Gorge Rd Apt 72
Cliffside Park, NJ 07010-2770
Phone (201) 957-3497

Other practice location 1

310 Phillips Ave
S Hackensack, NJ 07606-1717
Phone (201) 957-3497

Other names 1

  • Christian Counseling Association Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christian Counseling Association2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

310 Phillips Ave
South Hackensack, NJ 07606
Phone (201) 957-3497

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1871068916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GORGE RD APT 72",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102770",
            "telephone_number": "201-957-3497",
            "fax_number": "201-886-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 STANTON MT RD",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088333106",
            "telephone_number": "201-957-3497",
            "fax_number": "201-886-9531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Phillips Ave",
            "address_purpose": "LOCATION",
            "city": "S Hackensack",
            "state": "NJ",
            "postal_code": "076061717",
            "country_code": "US",
            "telephone_number": "201-957-3497",
            "fax_number": "201-886-9531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFRIE POPPLEWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "POPPLEWELL",
        "authorized_official_first_name": "JEFFRIE",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "201-957-3497",
        "authorized_official_credential": "MA, LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Counseling Association",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Christian Counseling Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.