Mindfully Active Karver Counseling & Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFULLY ACTIVE KARVER COUNSELING & WELLNESS LLC

Practice address

329 E Jimmie Leeds Rd Ste 206
Galloway, NJ 08205-4110

Phone

(609) 365-0778

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Kelli Aida Karver, LPC, ATR-BCNPI 1003421124

Title

Owner, Lead Therapist

Phone

(609) 513-2972

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 5

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

• Kelli Aida Karver, LPC, ATR-BC

  • Counselor
  • Galloway, NJ
  • NPI 1003421124
  NPD Authorized official
• Adrianna Bollaro, LAC, NCC, MA

  • Mental Health Counselor
  • Galloway, NJ
  • NPI 1548137714
  NPD
• Abbie Brewster

  • Mental Health Counselor
  • Galloway, NJ
  • NPI 1023768256
  NPD
• Jenna Pluard, LCSW, CCTP

  • Clinical Social Worker
  • Uncasville, CT
  • NPI 1568942670
  NPD
• Allison Bise, LAC

  • Mental Health Counselor
  • Galloway, NJ
  • NPI 1285524306
  NPD (past)

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1295300150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E JIMMIE LEEDS RD STE 206",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054110",
            "telephone_number": "609-365-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E JIMMIE LEEDS RD STE 206",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054110",
            "telephone_number": "609-365-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY ACTIVE KARVER COUNSELING & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "KARVER",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "AIDA",
        "authorized_official_title_or_position": "OWNER, LEAD THERAPIST",
        "authorized_official_telephone_number": "609-513-2972",
        "authorized_official_credential": "LPC, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATNEA, BCBS, UNITED HEALTH CARE",
            "identifier": "1003421124",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.SimplePractice.com",
            "affiliation": "N",
            "endpointDescription": "Health record system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "simplepractice.com",
            "address_1": "329 E Jimmie Leeds Rd Ste 206",
            "city": "Galloway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082054110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wedad S Michael, M.D.
• Kenneth Paul Michelette, NURSE PRACTITIONER
• Lauren Elizabeth Michelfelder, LSW
• Dangelo Martino Milford, MSW, LCSW
• Biyonka Iyana Miller-Hampton
• Minimally Invasive Surgeons of South Jersey LLC
• Lewis Michael Minnella, PT,DPT
• Daniel Mizrahi
• Mohamed H. Elnahal, P.a.
• Louis C. Morelli, M.D.

• Mental Health Counselor in Galloway, NJ
• Providers in Galloway, 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 May 24, 2021; 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.