Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Counseling and Psychotherapy for Life LLC

Organization Mental Health Counselor · NPI 1174878599

Counseling and Psychotherapy for Life LLC provides Mental Health Counselor services in Jackson, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.

Licensed in
NJ
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7 Nicole Ct
Jackson, NJ 08527-2400 Not confirmed with CMS for 14 years — call before visiting
Phone: (732) 664-0772
Fax: (732) 928-6290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence NJ37FI00166800 (NJ)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1174878599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Boan — Owner/ Operator · (732) 664-0772
NPI enumeratedJuly 23, 2012
Last updated in NPPESAugust 22, 2012
Mailing address19 N County Line Rd, Bldg 3 Suite 6, Jackson, NJ 08527-1255

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