The Center for Counseling and Holistic Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC05537800 Issued in NJ

Legal business name

THE CENTER FOR COUNSELING AND HOLISTIC SERVICES

Practice address

271 Route 46 W
C-110
Fairfield, NJ 07004-2440

Phone

(201) 491-6060

Fax

(201) 346-4365

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Vashonna Etienne, LCSWNPI 1053654806

Title

Founding Executive Director

Phone

(201) 491-6060

Specialties & licenses 1

Addresses

Other names 1

• NJ CCHS Doing business as

Locations

Practitioners 1

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

• Vashonna Etienne, LCSW

  • Clinical Social Worker
  • Oradell, NJ
  • NPI 1053654806
  NPD (past) Authorized official

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1881026151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 2ND ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244004",
            "telephone_number": "201-491-6060",
            "fax_number": "201-346-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 ROUTE 46 W",
            "address_2": "C-110",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "201-491-6060",
            "fax_number": "201-346-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR COUNSELING AND HOLISTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "VASHONNA",
        "authorized_official_title_or_position": "FOUNDING EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-491-6060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05537800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NJ CCHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.