Organization Active NPI

Evolutionary Wellness LLC

  • Adult Mental Health Clinic/Center
  • Manasquan, NJ
National Provider Identifier
1477433373
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
EVOLUTIONARY WELLNESS LLC
Practice address
1913 Atlantic Ave Ste 208
Manasquan, NJ 08736-1067
Phone
(732) 996-5632
NPI assigned
Sep 3, 2025
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Ms. Hannah Haimann, LPCNPI 1497419568
Title
Primary Counselor
Phone
(732) 996-5632

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

1913 Atlantic Ave Ste 208
Manasquan, NJ 08736-1067

Mailing address

1913 Atlantic Ave Ste 208
Manasquan, NJ 08736-1067

National Provider Directory

National Provider Directory

Locations

1913 Atlantic Ave
Ste 208
Manasquan, NJ 08736
Phone (732) 996-5632

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1477433373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 ATLANTIC AVE STE 208",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 ATLANTIC AVE STE 208",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361067",
            "telephone_number": "732-996-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTIONARY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "HAIMANN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "PRIMARY COUNSELOR",
        "authorized_official_telephone_number": "732-996-5632",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.