Organization Active NPI

Champion Mental Health & Wellness LLC

  • Community/Behavioral Health Agency
  • Port Republic, NJ
National Provider Identifier
1558291427
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on May 29, 2026

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

Authorized official

Name
Miss Elizabeth Champion, LPCNPI 1023954815
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.