Organization Active NPI

Jersey Family Care

  • Mental Health Counselor
  • Morristown, NJ
National Provider Identifier
1356087456
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JERSEY FAMILY CARE
Practice address
63 Hill St Apt 5M
Morristown, NJ 07960-7608
Phone
(551) 274-3876
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Conzuelo Levia, MA
Title
Owner
Phone
(551) 274-3876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

63 Hill St Apt 5M
Morristown, NJ 07960-7608

Mailing address

63 Hill St Apt 5M
Morristown, NJ 07960-7608
Phone (551) 274-3876

Other identifiers 2

IdentifierTypeStateIssuer
1164058442MedicaidNJ
1093180911MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jerseyfamilycare.org

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": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1356087456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HILL ST APT 5M",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607608",
            "telephone_number": "551-274-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 HILL ST APT 5M",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607608",
            "telephone_number": "551-274-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "LEVIA",
        "authorized_official_first_name": "CONZUELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-274-3876",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164058442",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093180911",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jerseyfamilycare.org",
            "affiliation": "N",
            "address_1": "63 Hill Street",
            "address_2": "Apt. 5M",
            "city": "Morristown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.