Individual provider Active NPI

Jacqueline A Hunter-Lewis, LAMFT

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1437875986
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FA00030200 Issued in NJ
Practice address
113 University PL Ste 1017
New York, NY 10003-4527
Phone
(917) 310-2662
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FA00030200 NJ Primary

Addresses

Primary practice location

113 University PL Ste 1017
New York, NY 10003-4527

Mailing address

423 William Street
Piscataway, NJ 08854
Phone (732) 648-4350

Other practice location 1

1136 US Highway 22
Mountainside, NJ 07092-2810
Phone (908) 821-6231

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://ibisanmi.theranest.com Ibisanmi Relational Health Marriage and Family Therapy, PLLC

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

State licenses

LicenseStateTypeSpecialty
37FA00030200NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ibisanmi Relational Health Marriage and Family Therapy, PLLC Marriage & Family Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1437875986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 WILLIAM STREET",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "08854",
            "telephone_number": "732-648-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 UNIVERSITY PL STE 1017",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034527",
            "telephone_number": "917-310-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 US Highway 22",
            "address_purpose": "LOCATION",
            "city": "Mountainside",
            "state": "NJ",
            "postal_code": "070922810",
            "country_code": "US",
            "telephone_number": "908-821-6231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER-LEWIS",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FA00030200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ibisanmi.theranest.com",
            "affiliation": "Y",
            "affiliationName": "Ibisanmi Relational Health Marriage and Family Therapy, PLLC",
            "address_1": "2130 Millburn Ave Ste D2",
            "city": "Maplewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070403749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

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