Ellen Koehler

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05446800 Issued in NJ

Practice address

126 Conover Ave
Nutley, NJ 07110-3398

Phone

(201) 349-3804

NPI assigned

Jun 25, 2021

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Caring People NJ Operating, LLCGroup PAC ID 7012324833, 7 clinicians

Life Medical Group PCGroup PAC ID 3173049962, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Caring People NJ Operating, LLC

  • Multi-Specialty Clinic/Center
  • Clifton, NJ
  • NPI 1720514201
  Medicare reassignment Care Compare group NPD
• Life Medical Group, PC

  • Multi-Specialty Clinic/Center
  • East Hanover, NJ
  • NPI 1134939333
  Medicare reassignment Care Compare group
• Keith Golin PHD LLC

  dba Keith Golin PhD

  • Clinical Psychologist
  • West Orange, NJ
  • NPI 1487660213
  Medicare reassignment NPD
• Keith Golin PHD LLC

  • Clinical Psychologist
  • Livingston, NJ
  • NPI 1548561053
  NPD
• Halcyon Elder Care LLC

  • Clinical Social Worker
  • Leonardo, NJ
  • NPI 1518076835
  NPD (past)

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1659941391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 CONOVER AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CONOVER AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103398",
            "telephone_number": "201-349-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05446800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Kirshblum
• Erika Kislyanov, LPC
• Laura Marie Kittle, DPT
• Delaney Katherine Klinger, PA-C
• Kacie Kochka, NP
• William Peter Koeller, D.M.D.
• Chaya Kohn, LSW
• Carol R. Kolton, LCSW
• Kevin William Konapaka
• Jaclyn Ann Kopidlowski, MS, OTR/L

• Clinical Social Worker in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.