COLLABORATIVE SUPPORT PROGRAM OF NEW JERSEY, INC – NPI #1386085652
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Health Care Provider Taxonomy Code for Community/Behavioral Health

COLLABORATIVE SUPPORT PROGRAM OF NEW JERSEY, INC is an agency located in FREEHOLD TOWNSHIP, NJ. NPPES has assigned the NPI number 1386085652 to COLLABORATIVE SUPPORT PROGRAM OF NEW JERSEY, INC on July 15, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 251S00000X from the Health Care Provider Taxonomy code set, which is classified as Community/Behavioral Health.

The NPI profile was last updated on Dec 17, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLLABORATIVE SUPPORT PROGRAM OF NEW JERSEY, INC below.

NPI Profile for
COLLABORATIVE SUPPORT PROGRAM OF NEW JERSEY, INC

NPI Number
1386085652
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLLABORATIVE SUPPORT PROGRAM OF NEW JERSEY, INC
Primary location
11 SPRING STREET
FREEHOLD TOWNSHIP, NJ 07728
Phone: (732) 780-1175 Fax: (732) 780-8977
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVEN BLACKBURN
CHIEF EXECUTIVE OFFICER
Phone: (732) 414-0081
Updated
Certification Date
Dec 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COLLABORATIVE SUPPORT PROGRAM OF NEW JERSEY, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNJ0411574
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251S00000X
- Community/Behavioral Health (Primary)
251B00000X
- Case Management

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.