Organization Active NPI

Mind Body Health Center LLC

  • Counselor
  • New Providence, NJ
National Provider Identifier
1063587731
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC00297300 Issued in NJ
Legal business name
MIND BODY HEALTH CENTER LLC
Practice address
1806 Springfield Ave
New Providence, NJ 07974
Phone
(908) 464-1400
Fax
(908) 464-1344
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Eleonora Cielo, MA LPC
Title
Director
Phone
(908) 464-2135

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X PC721 NJ
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 37PC00297300 NJ Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X MA02860900 NJ

Addresses

Primary practice location

1806 Springfield Ave
New Providence, NJ 07974

Mailing address

1806 Springfield Ave
New Providence, NJ 07974
Phone (908) 464-1400

National Provider Directory

National Provider Directory

Locations

1806 Springfield Ave
New Providnce, NJ 07974
Phone (908) 464-1400

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063587731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 SPRINGFIELD AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "07974",
            "telephone_number": "908-464-1400",
            "fax_number": "908-464-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SPRINGFIELD AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "07974",
            "telephone_number": "908-464-1400",
            "fax_number": "908-464-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CIELO",
        "authorized_official_first_name": "ELEONORA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-464-2135",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "PC721",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00297300",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA02860900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.