Skyheart Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SKYHEART COUNSELING LLC

Practice address

145 Marion Dr
West Orange, NJ 07052-3301

Phone

(973) 486-4559

NPI assigned

Jun 24, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Mohammed, MA, LPC, NCCNPI 1790309532

Title

Owner

Phone

(973) 486-4559

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Mohammed, LPC

  • Mental Health Counselor
  • West Orange, NJ
  • NPI 1790309532
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1013533074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 EAGLE ROCK AVE UNIT 202",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070526801",
            "telephone_number": "386-316-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MARION DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523301",
            "telephone_number": "973-486-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYHEART COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-486-4559",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manoj Singh, M.D.
• Larry K Siu, MD
• Ashley Sivo, ATC
• SJV 1 W Orange Opco LLC
• Ryan Skalka
• William C Sloan, M.D.
• Lucy Slutsky, DMD
• Carolyn Marie Smaka, AU.D.
• Melissa Ann Smirnow, PA-C
• Donna E. Smith, LSW, LCADC, ICADC,

• Mental Health Counselor in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.