Embolden Therapeutic Solutions LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EMBOLDEN THERAPEUTIC SOLUTIONS LLC

Practice address

100 Village CT Ste 202a
Hazlet, NJ 07730-1548

Phone

(908) 409-1664

Fax

(732) 790-0116

NPI assigned

Jul 22, 2022

Organization subpart

No

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

Authorized official

Name

Julia Mueller, LPCNPI 1740922558

Title

Owner

Phone

(908) 409-1664

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia Mueller

  • Professional Counselor
  • Hazlet, NJ
  • NPI 1740922558
  NPD Authorized official

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1205561156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE CT STE 202A",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301565",
            "telephone_number": "908-409-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE CT STE 202A",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301548",
            "telephone_number": "908-409-1664",
            "fax_number": "732-790-0116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Kings Hwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NJ",
            "postal_code": "077482509",
            "country_code": "US",
            "telephone_number": "908-418-6094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMBOLDEN THERAPEUTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-409-1664",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.