Organization Active NPI

A Wholesome Me LLC

  • Community/Behavioral Health Agency
  • Lakewood, NJ
National Provider Identifier
1417611310
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A WHOLESOME ME LLC
Practice address
26 Pine Blvd Ste 4
Lakewood, NJ 08701-5284
Phone
(347) 524-0674
NPI assigned
Oct 26, 2021
Last updated
Oct 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Mrs. Chana Gerstel, LPCNPI 1083123962
Title
Therapist
Phone
(347) 524-0674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

26 Pine Blvd Ste 4
Lakewood, NJ 08701-5284

Mailing address

332 Coles Way
Lakewood, NJ 08701-4835
Phone (347) 524-0674

Other identifiers 1

IdentifierTypeStateIssuer
1083123962OtherNPI TYPE 1

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Computer

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1417611310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 COLES WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014835",
            "telephone_number": "347-524-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PINE BLVD STE 4",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015284",
            "telephone_number": "347-524-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WHOLESOME ME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "GERSTEL",
        "authorized_official_first_name": "CHANA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "347-524-0674",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1083123962",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "address_1": "26 Pine Blvd Ste 4",
            "city": "Lakewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087015284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.