NPIMap

Organization Active NPI

Creative Living Counseling Center

  • Community/Behavioral Health Agency
  • Allendale, NJ
National Provider Identifier
1942499017
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREATIVE LIVING COUNSELING CENTER
Practice address
37 E Allendale Ave
Allendale, NJ 07401-2095
Phone
(201) 327-2424
NPI assigned
Oct 15, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Gretchen White Janssen, DMIN
Title
Executive Director
Phone
(201) 327-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

37 E Allendale Ave
Allendale, NJ 07401-2095

Mailing address

172 Rivington St
Apt. # 9
New York, NY 10002-2513
Phone (212) 533-0755

National Provider Directory

National Provider Directory

Locations

37 E Allendale Ave
Allendale, NJ 07401
Phone (201) 327-2424

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1942499017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 RIVINGTON ST",
            "address_2": "APT. # 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100022513",
            "telephone_number": "212-533-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E ALLENDALE AVE",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074012095",
            "telephone_number": "201-327-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LIVING COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-327-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMIN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.