Organization Active NPI

Frontier Behavioral Consult LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, NJ
National Provider Identifier
1205640190
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FRONTIER BEHAVIORAL CONSULT LLC
Practice address
99 Morris Ave Ste 102
Springfield, NJ 07081-1421
Phone
(732) 250-9284
NPI assigned
Feb 3, 2025
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Grace NwokikeNPI 1821623984
Title
Pmhnp
Phone
(732) 250-9284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Mental Health Counselor 101YM0800X NU
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

99 Morris Ave Ste 102
Springfield, NJ 07081-1421

Mailing address

99 Morris Ave Ste 102
Springfield, NJ 07081-1421
Phone (732) 250-9284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251211004365 NJ Part B Supplier - Clinic/Group Practice 7416441852 Receives reassigned benefits from 2 practitioners
Practice locations: Springfield, NJ

National Provider Directory

National Provider Directory

Locations

934 Stuyvesant Ave
Ste 9
Union, NJ 07083
Phone (732) 250-9284

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1205640190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MORRIS AVE STE 102",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811421",
            "telephone_number": "732-250-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MORRIS AVE STE 102",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811421",
            "telephone_number": "732-250-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER BEHAVIORAL CONSULT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "NWOKIKE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "732-250-9284"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.