COUNSELING CENTER AT CLARK LLC NPI 1245637578

NPI Information

  • NPI: 1245637578
  • Provider Name: COUNSELING CENTER AT CLARK, LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 31D2163389
  • Address: 60 WALNUT AVE
    SUITE #201
    CLARK, NJ
    ZIP 07066
  • Phone: (732) 882-1920

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NPI Details

COUNSELING CENTER AT CLARK, LLC is a rehabilitation and substance use disorder clinic center in Clark, NJ. COUNSELING CENTER AT CLARK, LLC NPI is 1245637578. The provider is registered as an organization entity type.

The provider's business location address is:

60 WALNUT AVE
SUITE #201
CLARK, NJ
ZIP 07066-649
Phone: (732) 882-1920
Fax: (732) 882-1925

The provider's authorized official is Jason Usilton .
The authorized official title is Director Of Rcm and has the following contact phone number (561) 318-4400.

The CLIA number assigned to this NPI record is 31D2163389 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2014 and was last updated on 11/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder2000538NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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