Active NPI
Champion Mental Health & Wellness LLC
- Community/Behavioral Health Agency
- Port Republic, NJ
National Provider Identifier
1558291427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CHAMPION MENTAL HEALTH & WELLNESS LLC
- Practice address
- 147 Central Ave
Port Republic, NJ 08241-9750 - Phone
- (609) 432-3587
- NPI assigned
- May 21, 2026
- 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
- Miss Elizabeth Champion, LPC
- Title
- Owner
- Phone
- (609) 432-3587
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
147 Central Ave
Port Republic, NJ 08241-9750
Mailing address
147 Central Ave
Port Republic, NJ 08241-9750
Phone (609) 432-3587
Other practice location 1
601 Buffalo Ave
Egg Harbor City, NJ 08215-2105
Phone (609) 965-1034
National Provider Directory
National Provider DirectoryLocations
601 Buffalo Ave
Egg Harbor City, NJ 08215
Phone (609) 965-1034
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Port Republic, NJ
- NPI 1023954815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780012800000",
"number": "1558291427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 CENTRAL AVE",
"city": "PORT REPUBLIC",
"state": "NJ",
"postal_code": "082419750",
"telephone_number": "609-432-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 CENTRAL AVE",
"city": "PORT REPUBLIC",
"state": "NJ",
"postal_code": "082419750",
"telephone_number": "609-432-3587"
}
],
"practiceLocations": [
{
"address_1": "601 Buffalo Ave",
"address_purpose": "LOCATION",
"city": "Egg Harbor City",
"state": "NJ",
"postal_code": "082152105",
"country_code": "US",
"telephone_number": "609-965-1034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHAMPION MENTAL HEALTH & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-21",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A",
"authorized_official_last_name": "CHAMPION",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-432-3587",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Republic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.