NPIMap

Organization Active NPI

Urban Life Counseling Center, Inc.

  • Adult Mental Health Clinic/Center
  • East Orange, NJ
National Provider Identifier
1972853034
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
2000036-04 Issued in NJ
Legal business name
URBAN LIFE COUNSELING CENTER, INC.
Practice address
220 S Harrison St
Suite a.
East Orange, NJ 07018-1401
Phone
(973) 677-7053
Fax
(973) 677-7050
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Mr. Thomas Johnson Sr., MA, LPC, LCADC, CCS
Title
Chief Executive Officer
Phone
(973) 677-7053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 2000036-04 NJ Primary

Addresses

Primary practice location

220 S Harrison St
Suite a.
East Orange, NJ 07018-1401

Mailing address

220 S Harrison St
Suite a.
East Orange, NJ 07018-1401
Phone (973) 677-7053

National Provider Directory

National Provider Directory
Tax ID family
Urban Life 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.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1972853034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S HARRISON ST",
            "address_2": "SUITE A.",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181401",
            "telephone_number": "973-677-7053",
            "fax_number": "973-677-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S HARRISON ST",
            "address_2": "SUITE A.",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181401",
            "telephone_number": "973-677-7053",
            "fax_number": "973-677-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN LIFE COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-677-7053",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MA, LPC, LCADC, CCS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "2000036-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.