Active NPI
Wesley Dion Little
- Health Educator
- Willingboro, NJ
National Provider Identifier
1366908220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 40 Princeton LN
Willingboro, NJ 08046-2739 - Phone
- (609) 556-9611
- NPI assigned
- Feb 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | NJ | ||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | |||
| Chore Provider | 372500000X | |||
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
40 Princeton LN
Willingboro, NJ 08046-2739
Mailing address
40 Princeton LN
Willingboro, NJ 08046-2739
Phone (609) 556-9611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0400248522 | Medicaid | NJ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Love a Little | 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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Willingboro, NJ
- NPI 1619654217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1366908220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 PRINCETON LN",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080462739",
"telephone_number": "609-556-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 PRINCETON LN",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080462739",
"telephone_number": "609-556-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "WESLEY",
"middle_name": "DION",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-15",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0400248522",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Willingboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.