=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477605384
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASSOCIATES FOR COUNSELING & THERAPY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/18/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 60 W RIDGEWOOD AVE 3RD FLOOR
-----------------------------------------------------
City | RIDGEWOOD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07450-3197
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-967-1100
-----------------------------------------------------
Fax | 201-568-6339
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 60 W RIDGEWOOD AVE 3RD FLOOR
-----------------------------------------------------
City | RIDGEWOOD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07450-3197
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-967-1100
-----------------------------------------------------
Fax | 201-568-6339
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | STEVEN KHANJIAN
-----------------------------------------------------
Credential | L.P.C., & L.C.A.D.C
-----------------------------------------------------
Telephone | 201-967-1100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 37PC00197500
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | 37LC00126800
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------