Organization Active NPI

JPS Counseling LLC

  • Adult Mental Health Clinic/Center
  • Willingboro, NJ
National Provider Identifier
1942986716
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JPS COUNSELING LLC
Doing business as
JPS Counseling LLC
JPS CounselingLLC
Practice address
4202 Rte 130 N. Suite #6
Willingboro, NJ 08046-1415
Phone
(609) 546-4572
Fax
(609) 531-2240
NPI assigned
Jun 26, 2023
Last updated
Jun 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Dr. George Hayman, LCSW
Title
Clinicial Director
Phone
(609) 444-9109

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

4202 Rte 130 N. Suite #6
Willingboro, NJ 08046-1415

Mailing address

4202 Rte 130 N. Suite #6
Willingboro, NJ 08046-1415
Phone (609) 546-4572

Other names 2

  • JPS Counseling LLC Doing business as
  • JPS CounselingLLC Doing business as

National Provider Directory

National Provider Directory

Locations

4202 Route 130
Ste 6
Willingboro, NJ 08046
Phone (609) 546-4572

Practitioners & affiliated clinicians

Practitioners 1

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": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1942986716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 RTE 130 N. SUITE #6",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461415",
            "telephone_number": "609-546-4572",
            "fax_number": "609-531-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 RTE 130 N. SUITE #6",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461415",
            "telephone_number": "609-546-4572",
            "fax_number": "609-531-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "HAYMAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CLINICIAL DIRECTOR",
        "authorized_official_telephone_number": "609-444-9109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JPS Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JPS CounselingLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.