Individual provider Active NPI

Hanwen Wang

  • Mental Health Counselor
  • Jersey City, NJ
National Provider Identifier
1265148803
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013163 Issued in NY
Practice address
101 Hudson St FL 21
Jersey City, NJ 07302-3929
Phone
(201) 856-4307
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 006389 CT
Mental Health Counselor 101YM0800X LMHC10000645 MA
Mental Health Counselor 101YM0800X 013163 NY Primary

Addresses

Primary practice location

101 Hudson St FL 21
Jersey City, NJ 07302-3929

Mailing address

6 Francesca CT
East Hanover, NJ 07936-3589
Phone (201) 896-7171

Other practice location 1

867 Boylston St Fl 5
Boston, MA 02116-2774
Phone (617) 676-2688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006389CTMDMental Health Counselor
LMHC10000645MAMDMental Health Counselor
013163NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Mental Fitness LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1265148803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FRANCESCA CT",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363589",
            "telephone_number": "201-896-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HUDSON ST FL 21",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023929",
            "telephone_number": "201-856-4307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "867 Boylston St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021162774",
            "country_code": "US",
            "telephone_number": "617-676-2688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "HANWEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "006389",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10000645",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.