Organization Active NPI

Faith Christian Counseling Center Inc

  • Mental Health Counselor
  • Beverly, NJ
National Provider Identifier
1912101155
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC00576900 Issued in NJ
Legal business name
FAITH CHRISTIAN COUNSELING CENTER INC
Practice address
215 Locust St
Beverly, NJ 08010
Phone
(609) 877-4411
Fax
(888) 201-7278
NPI assigned
Jun 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Leroy Scott III
Title
Executive Director
Phone
(609) 346-0619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC00576900 NJ Primary

Addresses

Primary practice location

215 Locust St
Beverly, NJ 08010

Mailing address

39 Somerset Dr
Willingboro, NJ 08046-1433
Phone (608) 346-0619

National Provider Directory

National Provider Directory
Tax ID family
Faith Christian Counseling Center Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912101155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SOMERSET DR",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461433",
            "telephone_number": "608-346-0619",
            "fax_number": "888-201-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LOCUST ST",
            "city": "BEVERLY",
            "state": "NJ",
            "postal_code": "08010",
            "telephone_number": "609-877-4411",
            "fax_number": "888-201-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH CHRISTIAN COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-346-0619",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC00576900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.