Active NPI
Connect Counseling & Wellness, LLC
- Clinical Social Worker
- Cresskill, NJ
National Provider Identifier
1508345257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CONNECT COUNSELING & WELLNESS, LLC
- Practice address
- 155 County Rd Ste 14
Cresskill, NJ 07626-2200 - Phone
- (201) 399-7225
- Fax
- (855) 615-8638
- NPI assigned
- Aug 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tiffany Kira Melone, CPC, CBCS
- Title
- Billing Manager
- Phone
- (201) 554-7315
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | 44SC05436200 | NJ | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 44SC05436200 | NJ |
Addresses
Primary practice location
155 County Rd Ste 14
Cresskill, NJ 07626-2200
Mailing address
155 County Rd Ste 14
Cresskill, NJ 07626-2200
Phone (201) 788-3122
Other practice location 1
36 Beach Rd Ste 13
Monmouth Beach, NJ 07750-1311
Phone (201) 399-7225
Other practice location 2
44 Union Ave Ste 12
Rutherford, NJ 07070-1275
Phone (201) 399-7225
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1W1259 | Other | NJ | MEDICARE |
| 9246734 | Other | NJ | AETNA |
| 60525884 | Other | NJ | HORIZON NJ HEALTH |
| 1W1244 | Other | NJ | MEDICARE |
| 0856291 | Medicaid | NJ |
Other names 1
- Connect Counseling & Wellness
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.connectcounselingandwellness.com/ | Other | |
| CONNECT URL | https://www.connectcounselingandwellness.com/ | Other | |
| CONNECT URL | connectcounselingandwellness.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211102001027 | NJ | Part B Supplier - Clinic/Group Practice | 0446648968 |
Receives reassigned benefits from 3 practitioners Practice locations: Monmouth Beach, NJ; Rutherford, NJ; Cresskill, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Connect Counseling and Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Cresskill, NJ
- NPI 1093255424
Locations
155 County Rd
Ste 14
Cresskill, NJ 07626
Phone (201) 399-7225
36 Beach Rd
Ste 13
Monmouth Beach, NJ 07750
Phone (201) 399-7225
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Cresskill, NJ
- NPI 1598576456
-
- Social Worker
- Monmouth Beach, NJ
- NPI 1184303182
-
- Social Worker
- Cresskill, NJ
- NPI 1093665101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677801600000",
"number": "1508345257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 COUNTY RD STE 14",
"city": "CRESSKILL",
"state": "NJ",
"postal_code": "076262200",
"telephone_number": "201-788-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 COUNTY RD STE 14",
"city": "CRESSKILL",
"state": "NJ",
"postal_code": "076262200",
"telephone_number": "201-399-7225",
"fax_number": "855-615-8638"
}
],
"practiceLocations": [
{
"address_1": "36 Beach Rd Ste 13",
"address_purpose": "LOCATION",
"city": "Monmouth Beach",
"state": "NJ",
"postal_code": "077501311",
"country_code": "US",
"telephone_number": "201-399-7225",
"fax_number": "855-615-8638",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44 Union Ave Ste 12",
"address_purpose": "LOCATION",
"city": "Rutherford",
"state": "NJ",
"postal_code": "070701275",
"country_code": "US",
"telephone_number": "201-399-7225",
"fax_number": "855-615-8638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CONNECT COUNSELING & WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-13",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A",
"authorized_official_last_name": "MELONE",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "KIRA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "201-554-7315",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPC, CBCS"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NJ",
"license": "44SC05436200",
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NJ",
"license": "44SC05436200",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1W1259",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9246734",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60525884",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1W1244",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0856291",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.connectcounselingandwellness.com/",
"affiliation": "N",
"endpointDescription": "Company Website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Company Information",
"address_1": "155 County Rd Ste 14",
"city": "Cresskill",
"state": "NJ",
"country_code": "US",
"postal_code": "076262200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.connectcounselingandwellness.com/",
"affiliation": "N",
"endpointDescription": "Company Website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Company Information",
"address_1": "36 Beach Rd Ste 13",
"city": "Monmouth Beach",
"state": "NJ",
"country_code": "US",
"postal_code": "077501311",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "connectcounselingandwellness.com",
"affiliation": "N",
"endpointDescription": "Company Website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Company Information",
"address_1": "44 Union Ave Ste 12",
"city": "Rutherford",
"state": "NJ",
"country_code": "US",
"postal_code": "070701275",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Connect Counseling & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cresskill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.