Organization Active NPI

Life Talk Counseling, LLC

  • Professional Counselor
  • Totowa, NJ
National Provider Identifier
1912339979
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00422200 Issued in NJ
Legal business name
LIFE TALK COUNSELING, LLC
Practice address
999 Riverview Dr
Second Floor
Totowa, NJ 07512-1164
Phone
(973) 406-5310
Fax
(973) 406-5101
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Ms. Michelle Rivkin, MA, LPC, BCPCNPI 1881976942
Title
Counselor
Phone
(973) 943-8826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 37PC00422200 NJ Primary

Addresses

Primary practice location

999 Riverview Dr
Second Floor
Totowa, NJ 07512-1164

Mailing address

483 Churchill Rd
Teaneck, NJ 07666-2904
Phone (973) 943-8826

National Provider Directory

National Provider Directory

Locations

999 Riverview Dr
Fl Second
Totowa, NJ 07512
Phone (973) 406-5310

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1912339979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 CHURCHILL RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662904",
            "telephone_number": "973-943-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 RIVERVIEW DR",
            "address_2": "SECOND FLOOR",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121164",
            "telephone_number": "973-406-5310",
            "fax_number": "973-406-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TALK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "RIVKIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "973-943-8826",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC, BCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00422200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.