Shoot for the Moon Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

37PC00587100 Issued in NJ

Legal business name

SHOOT FOR THE MOON COUNSELING LLC

Practice address

342 Greenbriar Dr Unit 3
Union, NJ 07083-8769

Phone

(908) 448-6370

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Heather Hanley, LPC, NCCNPI 1750893772

Title

License Professional Counselor

Phone

(908) 448-6370

Specialties & licenses 1

Addresses

Practitioners 1

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

• Heather Hanley, LPC

  • Professional Counselor
  • Union, NJ
  • NPI 1750893772
  NPD Authorized official

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1912411158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 GREENBRIAR DR UNIT 3",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 GREENBRIAR DR UNIT 3",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838769",
            "telephone_number": "908-448-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOOT FOR THE MOON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "908-448-6370",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "37PC00587100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Robert Sherman, D.D.S.
• Jun Zenobia Shim, N.P.
• Shivm Shah, PC
• Lyubov Shkarupa, APN
• Tanya Shneyder, D.O.
• Shilpa Shroff, MD
• Sibaven Medical Associates and Logistics
• Marlon Sideco, CRT
• Stuart H. Siegel, D.M.D.
• Scott B Sigmon, EDD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Union, NJ
• Providers in Union, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.