Family Guidance Center of Warren County

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

2000005 Issued in NJ

Legal business name

FAMILY GUIDANCE CENTER OF WARREN COUNTY

Practice address

370 Memorial Pkwy
Phillipsburg, NJ 08865-1580

Phone

(908) 454-5317

Fax

(908) 454-5317

NPI assigned

Sep 29, 2017

Organization subpart

Yes

Parent organization

FAMILY GUIDANCE CENTER OF WARREN COUNTYAs reported in NPPES

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

Authorized official

Name

Michele Eichorn, LCSW, LCADC

Title

Executive Director

Phone

(908) 689-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Family Guidance Center3 organizations share this tax ID, including this one

Part of

Family Guidance Center

Other organizations with this tax ID 2

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

• Family Guidance Center of Warren County

  • Clinic/Center
  • Phillipsburg, NJ
  • NPI 1184133472
  NPD tax ID
• Family Guidance Center of Warren County

  • Adult Mental Health Clinic/Center
  • Washington, NJ
  • NPI 1275709750
  NPD tax ID

Locations

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1902315294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 ROUTE 57 W",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824411",
            "telephone_number": "908-689-1000",
            "fax_number": "908-689-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MEMORIAL PKWY",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651580",
            "telephone_number": "908-454-5317",
            "fax_number": "908-454-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY GUIDANCE CENTER OF WARREN COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY GUIDANCE CENTER OF WARREN COUNTY",
        "enumeration_date": "2017-09-29",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "EICHORN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-689-1000",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "2000005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7679301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline D. Evanko
• Charles Evans III, MD
• Eye Care of Practice Associates
• Ebere N Ezeanya, M.D.
• Family Guidance Center of Warren County
• Rebecca Fang
• Peter Fares, RPH
• Regina Therese Fares, RPH
• Rabeea Farhan, MD
• Susan M. Farley, MA, LPC

• Adult Mental Health Clinic/Center in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.