| Comprehensive Counseling Center, Llc | |
|
2340 Route 9 Howell NJ 07731-4016 | |
| (732) 987-9770 | |
| (732) 987-9769 |
| Full Name | Comprehensive Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2340 Route 9, Howell, New Jersey |
| Authorized Official Name and Position | Toni Nokes (PARTNER) |
| Authorized Official Contact | 7329879770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Counseling Center, Llc 2340 Route 9 Howell NJ 07731-4016 Ph: (732) 987-9770 | Comprehensive Counseling Center, Llc 2340 Route 9 Howell NJ 07731-4016 Ph: (732) 987-9770 |
| NPI Number | 1821446311 |
|---|---|
| Provider Enumeration Date | 05/25/2016 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Medicare PECOS PAC ID | 4284054446 |
|---|---|
| Medicare Enrollment ID | O20201009000987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821446311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melinda Mcgullam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629190525 PECOS PAC ID: 1153411616 Enrollment ID: I20071220000345 |
| Provider Name | Amanda E Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124543566 PECOS PAC ID: 1153718903 Enrollment ID: I20220425001936 |
| Provider Name | Nicholas Lacorte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134556582 PECOS PAC ID: 1759700883 Enrollment ID: I20221019000135 |
| Provider Name | Samantha Sininsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902412372 PECOS PAC ID: 4587030036 Enrollment ID: I20221025001087 |
| Provider Name | Stephanie R Mccoll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013493469 PECOS PAC ID: 0840641478 Enrollment ID: I20240109000745 |
| Provider Name | Mallory B Lacorte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174912877 PECOS PAC ID: 8426409061 Enrollment ID: I20240109000994 |
| Provider Name | Daniel Blum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477071975 PECOS PAC ID: 2769834886 Enrollment ID: I20240114000063 |
| Provider Name | Kalyn Liborio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740771427 PECOS PAC ID: 0446691356 Enrollment ID: I20240509001792 |
| Provider Name | Melissa Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114673381 PECOS PAC ID: 6507308244 Enrollment ID: I20240610000529 |
| Provider Name | Todd Pender |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083218986 PECOS PAC ID: 6103350103 Enrollment ID: I20241113003727 |
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