Active NPI
New Brunswick Counseling Center
- Methadone Clinic
- Mount Holly, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 40340
- Legal business name
- NEW BRUNSWICK COUNSELING CENTER
- Practice address
- 605 High St
Mount Holly, NJ 08060-1022 - Phone
- (609) 267-3610
- Fax
- (609) 267-9692
- NPI assigned
- Mar 7, 2007
- Organization subpart
- Yes
- Parent organization
- NEW BRUNSWICK COUNSELING CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Lutomski, LCSW, LCADC
- Title
- Executive Director
- Phone
- (732) 246-4025
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Methadone Clinic | 261QM2800X | 40340 | NJ | Primary |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
605 High St
Mount Holly, NJ 08060-1022
Mailing address
320 Suydam St
New Brunswick, NJ 08901-2417
Phone (732) 246-4025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103306 | Medicaid | NJ | |
| 7633009 | Other | NJ | WFNJ SAI |
Other names 2
- Burlington Comprehensive Counseling
- Burlington Counseling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Opioid treatment program
- Medicare-enrolled since Apr 25, 2022
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200814001576 | NJ | Part B Supplier - Opioid Treatment Program (Otp) | 9537585070 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mount Holly, NJ; New Brunswick, NJ |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- New Brunswick, NJ
- NPI 1801915848
O20200814001576
National Provider Directory
National Provider Directory- Part of
- New Brunswick Counseling Center
Locations
605 High St
Mount Holly, NJ 08060
Phone (609) 265-2135
75 Washington St
Mount Holly, NJ 08060
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Freehold, NJ
- NPI 1841680345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1992835896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SUYDAM ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012417",
"telephone_number": "732-246-4025",
"fax_number": "732-246-3296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 HIGH ST",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080601022",
"telephone_number": "609-267-3610",
"fax_number": "609-267-9692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BRUNSWICK COUNSELING CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW BRUNSWICK COUNSELING CENTER",
"enumeration_date": "2007-03-07",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "LUTOMSKI",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "732-246-4025",
"authorized_official_credential": "LCSW, LCADC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "NJ",
"license": "40340",
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0103306",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WFNJ SAI",
"identifier": "7633009",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Burlington Comprehensive Counseling",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Burlington Counseling",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.