COLLABORATIVE CONNECTIONS LLC (NPI# 1518574680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518574680 |
| Entity Type | Organization |
| Organization Name | COLLABORATIVE CONNECTIONS LLC |
| Practice Address |
39 20th Ave Fl 2 Irvington NJ 07111-4451 |
| Practice Telephone | 7275994920 |
| Mailing Telephone | 7275994920 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | MRS. JESSICA FEVRIER (OWNER) |
| Authorized Official Telephone | 9733070348 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Collaborative Connections | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | COLLABORATIVE CONNECTIONS LLC | 39 20th Ave, Fl 2, Irvington, Nj 07111 |
| Street Address |
39 20TH AVE FL 2 |
| City | IRVINGTON |
| State | NJ |
| Zip Code | 07111-4451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871163 | Le Choix Home Care LLC | Home Health | 1395-1399 Clinton Ave, Irvington, NJ 07111 | 2020-08-17 |
| 1528532447 | All America Medical Day Care | Custodial Care Facility | 141 Coit St, Irvington, NJ 07111 | 2019-01-14 |
| 1548737240 | Irvington Adult Day Care Center | Clinic/Center | 62-70 Howard Street, Irvington, NJ 07111 | 2018-10-31 |
| 1245754084 | Soul House Cruber Wellness Center | Counselor | 1144 Clinton Avenue, Irvington, NJ 07111 | 2017-08-02 |
| 1689194094 | Anthony Ijehsedeh | Nurse Practitioner | 12 Krotik Place, Irvington, NJ 07111 | 2017-06-27 |
| 1467993246 | Sia Kendema | Respite Care | 102 Paine Avenue, Irvington, NJ 07111 | 2017-03-14 |
| 1316482078 | Walgreen Co | Pharmacy | 810 Springfield Ave, Irvington, NJ 07111 | 2017-01-04 |
| 1679023915 | Lyons Pharmacy | Pharmacy | 471 Lyons Ave #79, Irvington, NJ 07111 | 2016-10-11 |
| 1952759276 | Sabreehouse | Community/Behavioral Health | 74 Welland Avenue, Irvington, NJ 07111 | 2016-05-26 |
| 1447624184 | Marius Nzo Yonkeu | Pharmacist | 19 Bruen Ave Apt C1, Irvington, NJ 07111 | 2015-11-18 |
| Find all providers in zip 07111 | ||||
| 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 |
|---|---|---|---|---|
| 1629381686 | Mary-claire Marshall | Marriage & Family Therapist | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325019 | Nicholas Joseph Spanola | Marriage & Family Therapist | 302 Hawthorne Ave Ste 1, Point Pleasant Beach, NJ 08742-2539 | 2020-10-29 |
| 1598362469 | Kathrine Evans | Marriage & Family Therapist | 216 Neptune Dr, Manahawkin, NJ 08050-1751 | 2020-10-05 |
| 1437756582 | Yung Cha | Marriage & Family Therapist | 180 Undercliff Ave, Edgewater, NJ 07020-1125 | 2020-10-01 |
| 1699381095 | Kenneth Young | Marriage & Family Therapist | 37 Sturgis Rd, Edison, NJ 08817-4039 | 2020-09-21 |
| 1114530060 | Alexander M Cicchino | Marriage & Family Therapist | 11 Cherokee Rd, Cranford, NJ 07016-3360 | 2020-08-28 |
| 1912525874 | Maria S Mora | Marriage & Family Therapist | 41 Marinus St, Rochelle Park, NJ 07662-3805 | 2020-07-08 |
| 1750908869 | Dolly Bosire | Marriage & Family Therapist | 2040 Millburn Ave Ste 303, Maplewood, NJ 07040-3716 | 2020-07-06 |
| 1265059067 | Fresh Start Family Therapy Services | Marriage & Family Therapist | 600 Somerdale Rd Ste 101, Voorhees, NJ 08043-1858 | 2020-06-29 |
| 1033734298 | Gurjot Mondair | Marriage & Family Therapist | 11 Thorn Briar Ln, Burlington, NJ 08016-5131 | 2020-06-13 |
| 1851926737 | Lillian M Candelario | Marriage & Family Therapist | 24 N 3rd Ave Ste 100c, Highland Park, NJ 08904-2429 | 2020-03-11 |
| Find all providers with the same taxonomy | ||||
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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.