Anycolor Wellness, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ANYCOLOR WELLNESS, LLC

Practice address

20 Randolph PL Ste a
West Orange, NJ 07052-4808

Phone

(347) 668-0107

NPI assigned

Mar 12, 2025

Last updated

Mar 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nikita Fonarev, LCSWNPI 1811661242

Title

Owner / Psychotherapist

Phone

(347) 470-5199

Specialties & licenses 1

Addresses

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.

• Nikita Fonarev

  • Clinical Social Worker
  • West Orange, NJ
  • NPI 1811661242
  NPD Authorized official

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1629877402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RANDOLPH PL STE A",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524808",
            "telephone_number": "347-668-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RANDOLPH PL STE A",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524808",
            "telephone_number": "347-668-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANYCOLOR WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "FONAREV",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "OWNER / PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "347-470-5199",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yael Antebi, M.D.
• Mariola Magdalena Antolak, OTR/L
• Rose Antony, FNP-C
• Collins Anyanwu-Mueller, RN
• Chijioke Anyanwu, DC
• Michelangelo Anzalone, D.C.
• Apex Behavioral Health Centers, LLC
• Evangeline A Appiah, M.D
• Applied Family Solutions LLC
• Renee M. Arace, D.M.D.

• Adult Mental Health Clinic/Center in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.