Organization Active NPI

Johnson & Associates Counselng Consultation

  • Clinic/Center
  • East Orange, NJ
National Provider Identifier
1902069727
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
379C00021900 Issued in NJ
Legal business name
JOHNSON & ASSOCIATES COUNSELNG CONSULTATION
Practice address
220 S Harrison St
Suite a
East Orange, NJ 07018-1401
Phone
(973) 677-7053
Fax
(973) 677-7050
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mr. Thomas Johnson, LCADC MA CJI LSW
Title
Ceo President
Phone
(973) 677-7053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 379C00021900 NJ Primary

Addresses

Primary practice location

220 S Harrison St
Suite a
East Orange, NJ 07018-1401

Mailing address

220 S Harrison St
Suite a
East Orange, NJ 07018-1401
Phone (973) 677-7053

Other identifiers 1

IdentifierTypeStateIssuer
0078093MedicaidNJ

Other names 1

  • Johnson & Associates Counseling Consultation Group PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Johnson Associates Counseling Consultation Group PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

220 S Harrison St
Ste A
East Orange, NJ 07018
Phone (973) 677-7053

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1902069727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S HARRISON ST",
            "address_2": "SUITE A",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181401",
            "telephone_number": "973-677-7053",
            "fax_number": "973-677-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S HARRISON ST",
            "address_2": "SUITE A",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181401",
            "telephone_number": "973-677-7053",
            "fax_number": "973-677-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON & ASSOCIATES COUNSELNG CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "973-677-7053",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCADC MA CJI LSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "379C00021900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078093",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson & Associates Counseling Consultation Group PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.