Organization Active NPI

Peaceful Solutions NJ LLC

  • Community/Behavioral Health Agency
  • Brick, NJ
National Provider Identifier
1255927729
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PEACEFUL SOLUTIONS NJ LLC
Practice address
1140 Burnt Tavern Rd
Suite 2C
Brick, NJ 08724-1496
Phone
(732) 836-8112
Fax
(848) 241-3641
NPI assigned
Dec 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Jennifer Yarussi, LPC, LCADCNPI 1841886306
Title
Owner
Phone
(732) 836-8112

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1140 Burnt Tavern Rd
Suite 2C
Brick, NJ 08724-1496

Mailing address

1140 Burnt Tavern Rd
Suite 2C
Brick, NJ 08724-1496
Phone (732) 836-8112

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1255927729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BURNT TAVERN RD",
            "address_2": "SUITE 2C",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241496",
            "telephone_number": "732-836-8112",
            "fax_number": "848-241-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BURNT TAVERN RD",
            "address_2": "SUITE 2C",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241496",
            "telephone_number": "732-836-8112",
            "fax_number": "848-241-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL SOLUTIONS NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "YARUSSI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-836-8112",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.