COMMUNITY COUNSELING SERVICES OF NORTHERN NEW JERSEY – NPI #1336294230
Clinic/Center

COMMUNITY COUNSELING SERVICES OF NORTHERN NEW JERSEY is an AHC clinic located in FORT LEE, NJ. NPPES has assigned the NPI number 1336294230 to COMMUNITY COUNSELING SERVICES OF NORTHERN NEW JERSEY on January 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 COMMUNITY COUNSELING SERVICES OF NORTHERN NEW JERSEY below.

NPI Profile for
COMMUNITY COUNSELING SERVICES OF NORTHERN NEW JERSEY

NPI Number
1336294230
Enumeration Date

(more than 19 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
COMMUNITY COUNSELING SERVICES OF NORTHERN NEW JERSEY
Primary location
2083 CENTER AVE SUITE 3H
FORT LEE, NJ 07024
Phone: (201) 585-2477 Fax: (201) 585-2807
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
IGOR BEREGNOI
CLINICAL DIRECTOR
Phone: (201) 585-2477
Updated
Identifiers

Identifiers for COMMUNITY COUNSELING SERVICES OF NORTHERN NEW JERSEY

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
MEDICAIDNJ0112305
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
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

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.