Organization Active NPI

Positive Growth Counseling Inc.

  • Mental Health Counselor
  • Highland Park, NJ
National Provider Identifier
1952990277
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
POSITIVE GROWTH COUNSELING INC.
Practice address
320 Raritan Ave Ste 306a
Highland Park, NJ 08904-2752
Phone
(732) 629-8269
NPI assigned
Jan 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Gloria MatskinNPI 1396283412
Title
LPC, Clinical Director
Phone
(732) 629-8269

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

320 Raritan Ave Ste 306a
Highland Park, NJ 08904-2752

Mailing address

320 Raritan Ave Ste 306a
Highland Park, NJ 08904-2752
Phone (732) 629-8269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240612003123 NJ Part B Supplier - Clinic/Group Practice 9739621145 Receives reassigned benefits from 1 practitioner
Practice locations: Highland Park, NJ

National Provider Directory

National Provider Directory
Tax ID family
Positive Growth Counseling 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.

Locations

320 Raritan Ave
Ste 306A
Highland Park, NJ 08904
Phone (732) 629-8269

Practitioners & affiliated clinicians

Practitioners 3

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": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1952990277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 RARITAN AVE STE 306A",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042752",
            "telephone_number": "732-629-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RARITAN AVE STE 306A",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042752",
            "telephone_number": "732-629-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE GROWTH COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "MATSKIN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "LPC, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "732-629-8269"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.