Provider Demographics
NPI:1184125171
Name:NEW JERSEY COUNSELING GROUP
Entity type:Organization
Organization Name:NEW JERSEY COUNSELING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:FURNISH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-598-7992
Mailing Address - Street 1:800 DENOW RD # 286
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-5246
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:209 BLACKWELL RD
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-4206
Practice Address - Country:US
Practice Address - Phone:732-598-7992
Practice Address - Fax:732-598-7992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)