Healthcare Provider Details

I. General information

NPI: 1316436777
Provider Name (Legal Business Name): NORTH JERSEY COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2018
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 FOREST AVE SUITE 201
PARAMUS NJ
07652
US

IV. Provider business mailing address

10 BANK ST STE 830
WHITE PLAINS NY
10606-1952
US

V. Phone/Fax

Practice location:
  • Phone: 201-565-2920
  • Fax:
Mailing address:
  • Phone: 646-709-6883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number2000675
License Number StateNJ

VIII. Authorized Official

Name: DANIEL LENZO
Title or Position: VP FINANCE
Credential:
Phone: 646-709-6883