Liat Wruble

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

100276 Issued in NY

Practice address

114 Wayne St
Jersey City, NJ 07302-5456

Phone

(201) 982-4887

NPI assigned

Feb 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bridge Back to Life Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn, NY
  • NPI 1881922508
  NPD (past)
• Bridge Back to Life Center, Inc.

  • Multi-Specialty Clinic/Center
  • Bethpage, NY
  • NPI 1518918101

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1275167553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WAYNE ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025456",
            "telephone_number": "201-982-4887",
            "fax_number": "718-852-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WAYNE ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025456",
            "telephone_number": "201-982-4887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Remsen St Fl 10",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112014333",
            "country_code": "US",
            "telephone_number": "718-852-5552",
            "fax_number": "718-852-5666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRUBLE",
        "first_name": "LIAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "100276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter J Wong, MD
• Kyung Woo, D.D.S.
• Fahry Woolley, LMSW
• Jacqueline F Wright
• Jasmine N Wright, MS ED BCBA
• Jacqueline Wu
• Jung-Faug Wu, MD
• Xenon Health of Delaware LLC
• Xenon Health PC
• Yiyi Xian

• Mental Health Counselor in Jersey City, NJ
• Providers in Jersey City, 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 Dec 27, 2022; 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.