Active NPI
A Wholesome Me LLC
- Community/Behavioral Health Agency
- Lakewood, NJ
National Provider Identifier
1417611310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chana Gerstel, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083123962 | Other | NPI TYPE 1 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Computer |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Mental Health Counselor
- Brick, NJ
- NPI 1083123962
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.