MEDICARE: UNIQUE JOURNEY COUNSELING SERVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1053261586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUE JOURNEY COUNSELING SERVICE

Provider Business Mailing Address
First Line	:	54 CLARKE AVE FL 1
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-1011
Country	:	US
Telephone Number	:	201-892-3138
Fax Number	:

Provider Business Practice Location Address
First Line	:	54 CLARKE AVE FL 1
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-1011
Country	:	US
Telephone Number	:	201-892-3138
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. CASSANDRA C CLINTON
Credential	:	LPC
Telephone Number	:	201-892-3138

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “UNIQUE JOURNEY COUNSELING SERVICE ” Practice Location

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