Second Chance Mental Health Counseling
NPI 1811751035ActiveOrganization· Counselor, Mental Health· Cliffside Park, NJ
Counselor, Mental Health in Cliffside Park, New Jersey, registered in NPPES in February 2024. The authorized official on file is Ansimon Elia Botrous Rezk, LPC, Clinician.
Overview
| NPI | 1811751035 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2024 |
| Last updated in NPPES | Feb 8, 2024 |
| Certified by provider | Feb 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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