NPIMap

Organization Active NPI

Innovators in Mental Health

  • Mental Health Counselor
  • East Orange, NJ
National Provider Identifier
1477065944
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNOVATORS IN MENTAL HEALTH
Practice address
650 Park Ave Apt 104
East Orange, NJ 07017-1578
Phone
(973) 474-7680
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Ms. Steronda BallewNPI 1073790010
Title
Owner
Phone
(973) 474-7680

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

650 Park Ave Apt 104
East Orange, NJ 07017-1578

Mailing address

650 Park Ave Apt 104
East Orange, NJ 07017-1578
Phone (973) 474-7680

National Provider Directory

National Provider Directory
Tax ID family
Innovators in Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1477065944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PARK AVE APT 104",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171578",
            "telephone_number": "973-474-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PARK AVE APT 104",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171578",
            "telephone_number": "973-474-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATORS IN MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "BALLEW",
        "authorized_official_first_name": "STERONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-474-7680",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.