Healthcare Provider Details

I. General information

NPI: 1376471235
Provider Name (Legal Business Name): GREATEST MOMENTS COUNSELING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 W RIDGEWOOD AVE STE 2
RIDGEWOOD NJ
07450-3141
US

IV. Provider business mailing address

15 GLORIA DR
ALLENDALE NJ
07401-1335
US

V. Phone/Fax

Practice location:
  • Phone: 201-757-0600
  • Fax: 800-507-2456
Mailing address:
  • Phone: 201-757-0600
  • Fax: 800-507-2456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. IDA JELTOVA
Title or Position: PRESIDENT
Credential:
Phone: 201-757-0600