COUNSELING AND PSYCHOTHERAPY FOR LIFE LLC (NPI# 1174878599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174878599 |
| Entity Type | Organization |
| Organization Name | COUNSELING AND PSYCHOTHERAPY FOR LIFE LLC |
| Practice Address |
7 Nicole Ct Jackson NJ 08527-2400 |
| Mailing Address |
19 N County Line Rd Bldg 3 Suite 6 Jackson NJ 08527-1255 |
| Practice Telephone | 7326640772 |
| Practice Fax Number | 7329286290 |
| Mailing Telephone | 7326640772 |
| Mailing Fax Number | 7329286290 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-08-22 |
| Authorized Official Name | MR. WILLIAM F BOAN (OWNER/ OPERATOR) |
| Authorized Official Telephone | 7326640772 |
| Authorized Official Credential | ED.S. LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | NJ37FI00166800 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
7 NICOLE CT |
| City | JACKSON |
| State | NJ |
| Zip Code | 08527-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923959 | Patricia Ann Benjamino | Technician | 8 Poplar Street, Jackson, NJ 08527 | 2019-10-09 |
| 1811456890 | Step By Step Behavioral Therapy, LLC | Behavioral Analyst | 18 Walter Drive, Jackson, NJ 08527 | 2019-03-18 |
| 1326520255 | Sarah Chalnick | Physical Therapist | 2290 W County Line Road Suite 215, Jackson, NJ 08527 | 2018-09-06 |
| 1679071401 | Louro Chiropractic Center LLC | Chiropractor | 180 North County Line Road, Jackson, NJ 08527 | 2018-01-26 |
| 1487183737 | Arkady Khaykin | Dentist | 24 N Cooks Bridge Rd, Jackson, NJ 08527 | 2017-06-09 |
| 1912362815 | Executive Home Healthcare | Home Health | 17 N Hope Chapel Rd, Jackson, NJ 08527 | 2015-12-18 |
| 1629455274 | Rachel Solny | Speech-Language Pathologist | 70 Villanova Dr, Jackson, NJ 08527 | 2015-05-04 |
| 1235525486 | Encore Dental of Jackson | Dentist | 2275 West County Line Rd., Jackson, NJ 08527 | 2015-04-14 |
| 1093108243 | Joseph Davis | Dentist | 2064 W County Line Rd, Jackson, NJ 08527 | 2015-03-12 |
| 1477955037 | Jackson Village Pharmacy LLC | Pharmacy | 27 South Cooks Bridge Rd, Suite M1, Jackson, NJ 08527 | 2014-09-25 |
| Find all providers in zip 08527 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341914 | Heidi Christine Somers | Marriage & Family Therapist | 330 N Glenwood St, Jackson, WY 83001-8765 | 2019-02-01 |
| 1043734080 | Naomi Fortune Muffuletto | Marriage & Family Therapist | 1151 North State Street, Suite 212, Jackson, MS 39202-2467 | 2017-08-01 |
| 1104299791 | Ashlie Edwards Counseling | Marriage & Family Therapist | 91 Stonebridge Blvd Ste 104, Jackson, TN 38305-2042 | 2015-11-04 |
| 1295114361 | Gladys Felicia Dinkins | Marriage & Family Therapist | 5360 Bld. C, Jackson, MS 39206-4101 | 2015-05-22 |
| 1871909689 | Revelation of Hope Counseling Services, LLC | Marriage & Family Therapist | 386 Carriage House Dr Ste B, Jackson, TN 38305-2236 | 2014-07-02 |
| 1003233008 | Leanne Braddock | Marriage & Family Therapist | 561 E Main St, Jackson, TN 38301-6451 | 2014-03-27 |
| 1326388307 | Susan Woodard | Marriage & Family Therapist | 1801 Crane Ridge Dr Ste A, Jackson, MS 39216-4902 | 2013-02-27 |
| 1629362124 | Bradley Bonnett | Marriage & Family Therapist | 401 West St Ste 115, Jackson, MN 56143-1219 | 2011-06-02 |
| 1235438235 | Kathleen Marie Pignataro | Marriage & Family Therapist | 235 New York Ranch Rd Ste C, Jackson, CA 95642-2173 | 2011-03-17 |
| 1629306303 | Lauraq Elise Santomauro | Marriage & Family Therapist | 460 South Jackson Ave., Jackson, WY 83001 | 2009-11-18 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.