Essence of Life Therapeutic Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ESSENCE OF LIFE THERAPEUTIC SERVICES LLC

Practice address

7 Demaret CT
Little Egg Harbor TWP, NJ 08087-1808

Phone

(609) 857-1582

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Tatiana Negron

Title

Billing Manager

Phone

(732) 795-5519

Specialties & licenses 1

Addresses

Other names 1

• ESSENCE OF LIFE THERAPEUTIC SERVICES LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Lisa Fobian, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Yardley, PA
  • NPI 1316309792

  NJ

  Medicare reassignment NPD
• Brittany Amato, MA, LAC

  • Professional Counselor
  • Little Egg Harbor TWP, NJ
  • NPI 1104711548

  Professional

  NPD

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1124806013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DEMARET CT",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080871808",
            "telephone_number": "609-857-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DEMARET CT",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080871808",
            "telephone_number": "609-857-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE OF LIFE THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "NEGRON",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "732-795-5519"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESSENCE OF LIFE THERAPEUTIC SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi M Elich, MS, RD
• John S Ellis, OD
• Ellis' Family Eyecare, LLC
• Encore Preakness, Inc.
• Equilibrium Rehab, LLC
• Etukuru MD PC
• Family Medicine Center
• Lauren Farina
• Harold Ferraren, PT
• James Finocchi, RPH

• All providers in Little Egg Harbor TWP, NJ
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.