Organization Active NPI

New Brunswick Counseling Center

  • Methadone Clinic
  • Mount Holly, NJ
National Provider Identifier
1992835896
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
40340 Issued in NJ
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 CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Sandra Lutomski, LCSW, LCADCNPI 1841680345
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0103306MedicaidNJ
7633009OtherNJWFNJ SAI

Other names 2

  • Burlington Comprehensive Counseling Doing business as
  • Burlington Counseling Other name

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 IDStateProvider typePAC IDDetails
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.

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.

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.

Verify at the official NPI Registry.