Faith Christian Counseling Center Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05221400 Issued in NJ

Legal business name

FAITH CHRISTIAN COUNSELING CENTER INC

Practice address

704 Cooper St
Beverly, NJ 08010-1702

Phone

(609) 880-3025

Fax

(888) 397-1415

NPI assigned

Jul 25, 2013

Last updated

Jul 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Leroy Scott III, M. TH.

Title

Director

Phone

(609) 880-3025

Specialties & licenses 1

Addresses

Tax ID family

Faith Christian Counseling Center 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.

• Faith Christian Counseling Center Inc

  • Mental Health Counselor
  • Beverly, NJ
  • NPI 1912101155
  NPD tax ID

Locations

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1962844415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SOMERSET DR",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461433",
            "telephone_number": "609-880-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 COOPER ST",
            "city": "BEVERLY",
            "state": "NJ",
            "postal_code": "080101702",
            "telephone_number": "609-880-3025",
            "fax_number": "888-397-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH CHRISTIAN COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-880-3025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M. TH."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05221400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Elizabeth Cuneo
• Jennifer Diaz, LPC, EDS
• W. Albert Dow, M.D.
• Dungarvin New Jersey, LLC-Park
• Faith Christian Counseling Center Inc
• Peter Kwabena Frimpong
• Ruth Goda, APRN
• Tiffiny Shantay Green, APN
• Sasha Harris
• Mia Haskins

• Clinical Social Worker in Beverly, NJ
• Providers in Beverly, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.