Active NPI
Mind Matters & Solutions LLC
- Mental Health Counselor
- Nutley, NJ
National Provider Identifier
1255084638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MIND MATTERS & SOLUTIONS LLC
- Practice address
- 54 Brookfield Ave
Nutley, NJ 07110-1804 - Phone
- (973) 216-7022
- NPI assigned
- Jan 27, 2022
- Last updated
- Jan 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taji S Karim-Reisch, LCSW
- Title
- Owner
- Phone
- (973) 216-7022
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
54 Brookfield Ave
Nutley, NJ 07110-1804
Mailing address
54 Brookfield Ave
Nutley, NJ 07110-1804
Phone (973) 216-7022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643241600000",
"number": "1255084638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 BROOKFIELD AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101804",
"telephone_number": "973-216-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 BROOKFIELD AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101804",
"telephone_number": "973-216-7022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND MATTERS & SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A",
"authorized_official_last_name": "KARIM-REISCH",
"authorized_official_first_name": "TAJI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-216-7022",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.