Reveal 2 Heal Consulting Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REVEAL 2 HEAL CONSULTING SERVICES LLC

Practice address

2130 Millburn Ave
Maplewood, NJ 07040-3725

Phone

(973) 850-9554

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Octavia BradleyNPI 1417614447

Title

Ceo

Phone

(973) 850-9554

Specialties & licenses 2

Addresses

Electronic endpoints 2

Practitioners 1

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

• Octavia Bradley, BA

  • Professional Counselor
  • Maplewood, NJ
  • NPI 1417614447
  NPD Authorized official

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1306471016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 LENOX ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063006",
            "telephone_number": "862-371-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MILLBURN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403725",
            "telephone_number": "973-850-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEAL 2 HEAL CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-850-9554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "maplewood",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "maplewood",
            "address_1": "2130 Millburn Ave",
            "city": "Maplewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070403725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "maplewood",
            "affiliation": "N",
            "address_1": "2130 Millburn Ave",
            "city": "Maplewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070403725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tennille Raney, LPC
• Tommie Schneider Raskin, LCSW, PHD
• Karen Reckson
• Gabrielle Reinhard, LSW
• Renal Care Group Maplewood, LLC
• Reveal to Heal Consulting a NJ Non Profit
• Monique Rice, PA-C
• Asya Rivinson, LCSW
• RNB Medical Inc.
• Robinson Family Care Professional

• Clinical Social Worker in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.