Mindfully Alive, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDFULLY ALIVE, LLC

Practice address

18 Sycamore Ave
Ho Ho Kus, NJ 07423-1582

Phone

(201) 208-3987

NPI assigned

Apr 9, 2020

Organization subpart

No

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

Authorized official

Name

Andrea R. Nyerges, LPCNPI 1669898417

Title

LPC/Founder

Phone

(201) 308-3987

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrea Nyerges, LPC

  • Professional Counselor
  • Ho Ho Kus, NJ
  • NPI 1669898417
  NPD Authorized official

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1376162487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SYCAMORE AVE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231582",
            "telephone_number": "201-308-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SYCAMORE AVE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231582",
            "telephone_number": "201-208-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY ALIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "NYERGES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "LPC/FOUNDER",
        "authorized_official_telephone_number": "201-308-3987",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra A. McCarthy, M.A. CCC-SLP
• Karen McCarthy, DMD,MS
• Lisa Jane McWhinnie, PH.D.
• Alison Merena
• Mind Body Health, LLC
• Jeffrey Thomas Mohn, DDS
• Kristen Morgado, MD
• Justin V Morris, D.D.S
• Christopher B Nicpon, MD
• Andrea Nyerges, LPC

• Professional Counselor in Ho Ho Kus, NJ
• Providers in Ho Ho Kus, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.