Healthcare Provider Details

I. General information

NPI: 1285266643
Provider Name (Legal Business Name): ALPHA COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2020
Last Update Date: 01/02/2021
Certification Date: 12/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 WARWICK TPKE
HEWITT NJ
07421-2816
US

IV. Provider business mailing address

81 WARWICK TPKE
HEWITT NJ
07421-2816
US

V. Phone/Fax

Practice location:
  • Phone: 973-506-6645
  • Fax:
Mailing address:
  • Phone: 973-506-6645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1699216275
Identifier TypeOTHER
Identifier State
Identifier IssuerINDIVIDUAL NPI - JOSEPH CHLEBOWSKI
# 2
Identifier1023580644
Identifier TypeOTHER
Identifier State
Identifier IssuerINDIVIDUAL NPI - SUMMER ALONSO
# 3
Identifier1144772666
Identifier TypeOTHER
Identifier State
Identifier IssuerINDIVIDUAL NPI - LEONARD PIKAARD
# 4
Identifier1477854081
Identifier TypeOTHER
Identifier State
Identifier IssuerINDIVIDUAL NPI - VANESSA ESBRI
# 5
Identifier1477854081
Identifier TypeOTHER
Identifier State
Identifier IssuerINDIVIDUAL NPI - ALICIA FEGHHI

VIII. Authorized Official

Name: ALLISON HANNAH
Title or Position: COO
Credential:
Phone: 973-506-6645