| Aspire Counseling & Consulting | |
|
250 Washington St Ste C1-b Toms River NJ 08753-7575 | |
| (732) 930-0024 | |
| Not Available |
| Full Name | Aspire Counseling & Consulting |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 Washington St Ste C1-b, Toms River, New Jersey |
| Authorized Official Name and Position | Geraldine Dierking (OWNER) |
| Authorized Official Contact | 7329300024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Counseling & Consulting 653 Loxley Dr Toms River NJ 08753-4385 Ph: (732) 930-0024 | Aspire Counseling & Consulting 250 Washington St Ste C1-b Toms River NJ 08753-7575 Ph: (732) 930-0024 |
| NPI Number | 1477055861 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 03/02/2018 |
| Medicare PECOS PAC ID | 0042562902 |
|---|---|
| Medicare Enrollment ID | O20181004001646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477055861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 44SC05708400 (New Jersey) | Primary |
| Provider Name | Geraldine Dierking |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740521319 PECOS PAC ID: 9830473065 Enrollment ID: I20170307000529 |
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