Active NPI
Jacqueline A Hunter-Lewis, LAMFT
- Marriage & Family Therapist
- New York, NY
National Provider Identifier
1437875986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 37FA00030200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 37FA00030200 | NJ | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Ibisanmi Relational Health
- Marriage & Family Therapist
- New York, NY
- NPI 1912414558
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.