Modern Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MODERN WELLNESS LLC

Practice address

2130 Route 35 Ste 227
Sea Girt, NJ 08750-1011

Phone

(908) 565-1478

NPI assigned

Feb 11, 2020

Organization subpart

No

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

Authorized official

Name

Laine Happel, LPC

Title

Owner

Phone

(908) 565-1478

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1245862986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 ROUTE 35 STE 227",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501011",
            "telephone_number": "908-565-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 ROUTE 35 STE 227",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501011",
            "telephone_number": "908-565-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "HAPPEL",
        "authorized_official_first_name": "LAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-565-1478",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Mathesen
• Erin McFeely, MD
• Maria Megill, O.D.
• Elizabeth Carroll Miller, LCSW
• Joseph M Miller, DO
• Julianne Helene Monica, D.C.
• Juliany H Montalbano, LPC
• Keith Joseph Montecalvo, PT,DPT,OCS,MDT,SFMA
• Steven Neuman, M.D.
• Nexus Health Chiropractic LLC

• Mental Health Counselor in Sea Girt, NJ
• Providers in Sea Girt, 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 Feb 11, 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.