LUMOS COUNSELING PC


Address: 20 Malcolm Way, Lincroft, NJ 07738-1556
Phone: 9143165424

LUMOS COUNSELING PC (NPI# 1366918666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366918666
Entity Type Organization
Organization Name LUMOS COUNSELING PC
Practice Address 20 Malcolm Way
Lincroft
NJ 07738-1556
Practice Telephone 9143165424
Enumeration Date 2018-10-15
Last Update Date 2018-10-15
Authorized Official Name KELSEY SIEGEL (OWNER/ PSYCHOTHERAPIST)
Authorized Official Telephone 9143165424
Authorized Official Credential LPC; LMHC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Executive Dr, Tinton Falls, NJ 077014933 9143165424

Office Location

Street Address 20 MALCOLM WAY
City LINCROFT
State NJ
Zip Code 07738-1556

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1801924923 Cpc Behavioral Healthcare, Inc Clinic/Center 1618 W Front St, Lincroft, NJ 07738-1124 2007-03-01

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Competitor

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City LINCROFT
Zip Code 07738

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Dataset Information

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.

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