Organization Active NPI

Manna Counseling Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Trenton, NJ
National Provider Identifier
1982040242
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
37LC00137800 Issued in NJ
Legal business name
MANNA COUNSELING SERVICES, LLC
Practice address
354 S Broad St Ste 119
Trenton, NJ 08608-2502
Phone
(609) 382-1213
NPI assigned
May 14, 2013
Last updated
May 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Dr. James D Harris Jr., PHD
Title
Owner
Phone
(609) 382-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 37LC00137800 NJ Primary

Addresses

Primary practice location

354 S Broad St Ste 119
Trenton, NJ 08608-2502

Mailing address

354 S Broad St Ste 119
Trenton, NJ 08608-2502
Phone (609) 382-1213

National Provider Directory

National Provider Directory

Locations

354 S Broad St
Ste 119
Trenton, NJ 08608
Phone (609) 382-1213

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1982040242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 S BROAD ST STE 119",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086082502",
            "telephone_number": "609-382-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 S BROAD ST STE 119",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086082502",
            "telephone_number": "609-382-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-382-1213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "37LC00137800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.