Reveal to Heal Consulting a NJ Non Profit

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

Legal business name

REVEAL TO HEAL CONSULTING A NJ NON PROFIT

Practice address

2115 Millburn Ave Lowr Level2
Maplewood, NJ 07040-3724

Phone

(863) 371-4463

NPI assigned

May 6, 2024

Organization subpart

No

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

Authorized official

Name

Octavia BradleyNPI 1417614447

Title

Executive Diretor

Phone

(862) 371-4463

Specialties & licenses 3

Addresses

Locations

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": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1386491355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 LENOX STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07106",
            "telephone_number": "862-371-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 MILLBURN AVE LOWR LEVEL2",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403724",
            "telephone_number": "863-371-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEAL TO HEAL CONSULTING A NJ NON PROFIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRETOR",
        "authorized_official_telephone_number": "862-371-4463"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommie Schneider Raskin, LCSW, PHD
• Karen Reckson
• Gabrielle Reinhard, LSW
• Renal Care Group Maplewood, LLC (Renal Care Group - Maplewood)
• Reveal 2 Heal Consulting Services LLC
• Monique Rice, PA-C
• Asya Rivinson, LCSW
• RNB Medical Inc.
• Robinson Family Care Professional (Acti-Kare Responsive In-Home Care)
• Tinesha Rodrigues

• Mental Health Occupational Therapist in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Mental Health Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.