In Jin Lee, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

405458 Issued in NY

Practice address

160 Pehle Ave Ste 100
Saddle Brook, NJ 07663-5227

Phone

(973) 771-3560

Fax

(973) 208-0851

NPI assigned

Nov 26, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY, AZ3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: in.jin.lee.3@9357.direct.athenahealth.com
• Direct secure messaging: in.jin.lee.1@9357.direct.athenahealth.com
• Direct secure messaging: in.jin.lee.2@9357.direct.athenahealth.com

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.

• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  NJ

  Medicare reassignment Care Compare group
• Kessler Professional Services LLC

  • Specialist
  • West Orange, NJ
  • NPI 1508804048
  Medicare reassignment NPD
• Renew Wound Care of New Jersey LLC

  • Family Medicine Physician
  • Trenton, NJ
  • NPI 1245815851
  Medicare reassignment NPD
• Visiting Nurse Association of Central Jersey, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Holmdel, NJ
  • NPI 1336195791
  Medicare reassignment NPD
• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328
  Medicare reassignment
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  AZ, NY

  Medicare reassignment
• Visiting Nurse Association of Central Jersey, Inc.

  • Home Health Agency
  • Holmdel, NJ
  • NPI 1144275892
  NPD
• Integrated Podiatry Services, PC

  • Podiatrist
  • Spring Valley, NY
  • NPI 1356646095
  NPD (past)

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1457695835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 BROADWAY",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262150",
            "telephone_number": "551-202-9120",
            "fax_number": "201-492-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PEHLE AVE STE 100",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635227",
            "telephone_number": "973-771-3560",
            "fax_number": "973-208-0851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 Broadway",
            "address_purpose": "LOCATION",
            "city": "Cresskill",
            "state": "NJ",
            "postal_code": "076262150",
            "country_code": "US",
            "telephone_number": "551-202-9120",
            "fax_number": "201-492-5680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "IN JIN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306270",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405458",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00411200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Lanari
• Leticia Langarita-Hoyle, NP
• Mary E. Lapalme, PT
• Akash H Lavani, PHARMD
• Anthony Lee, MD
• Brittany Marie Leeds
• Abraham Reuven Lehman
• Katarzyna Anna Leja, APN
• Pietra Valentina Leone, DR.
• Danielle Marie Lesaint, PT, DPT

• Psychiatric/Mental Health Nurse Practitioner in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.