Active NPI
Shelleys Way
- Mental Health Counselor
- Irvington, NJ
National Provider Identifier
1639645179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SHELLEYS WAY
- Practice address
- 50 Union Ave Ste 804B
Irvington, NJ 07111-5221 - Phone
- (862) 438-6121
- NPI assigned
- Oct 23, 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
- Shelley Porter
- Title
- Ceo/Founder
- Phone
- (732) 485-4681
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
50 Union Ave Ste 804B
Irvington, NJ 07111-5221
Mailing address
90 Howard St Ste 2
New Brunswick, NJ 08901-3137
Phone (732) 485-4681
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0594628 | Medicaid | NJ | |
| 0987042 | Medicaid | NJ |
Other names 1
- Shelleys Way, LLC
National Provider Directory
National Provider DirectoryLocations
50 Union Ave
Ste 804B
Irvington, NJ 07111
Phone (862) 955-3970
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- East Orange, NJ
- NPI 1871969170
-
- Psychiatric/Mental Health Nurse Practitioner
- Newark, NJ
- NPI 1942645544
-
- Adult Health Nurse Practitioner
- Wayne, NJ
- NPI 1710279534
-
- Clinical Social Worker
- Newark, NJ
- NPI 1902346810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1639645179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOWARD ST STE 2",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089013137",
"telephone_number": "732-485-4681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 UNION AVE STE 804B",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071115221",
"telephone_number": "862-438-6121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELLEYS WAY",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-23",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "SHELLEY",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "732-485-4681"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0594628",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0987042",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shelleys Way, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.