Elysian Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELYSIAN WELLNESS LLC

Practice address

186 Columbia Tpke Ste 5-144
Florham Park, NJ 07932-1389

Phone

(973) 917-8492

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Caitlin Redding, LPCNPI 1649752643

Title

Licensed Professional Counselor

Phone

(973) 917-8492

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caitlin Redding, MA, LPC, NCC

  • Mental Health Counselor
  • Mountain Lakes, NJ
  • NPI 1649752643
  NPD Authorized official

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1528833654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 COLUMBIA TPKE STE 5-144",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321389",
            "telephone_number": "973-917-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 COLUMBIA TPKE STE 5-144",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321389",
            "telephone_number": "973-917-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-18",
        "status": "A",
        "authorized_official_last_name": "REDDING",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "973-917-8492",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.