NPIMap

Organization Active NPI

Mindful Solutions NJ, LLC

  • Community/Behavioral Health Agency
  • Toms River, NJ
National Provider Identifier
1669877981
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05573900 Issued in NJ
Legal business name
MINDFUL SOLUTIONS NJ, LLC
Practice address
52 Hyers St Ste 3
Toms River, NJ 08753-7465
Phone
(732) 281-2060
Fax
(732) 281-6969
NPI assigned
Oct 29, 2014
Last updated
Jun 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Susan Taylor, LCSWNPI 1417229444
Title
Owner/Clinical Director
Phone
(732) 281-2060

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X
Community/Behavioral Health Agency 251S00000X 44SC05573900 NJ Primary

Addresses

Primary practice location

52 Hyers St Ste 3
Toms River, NJ 08753-7465

Mailing address

52 Hyers St Ste 3
Toms River, NJ 08753-7465
Phone (732) 281-2060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150202000340 NJ Part B Supplier - Clinic/Group Practice 1254656846 Receives reassigned benefits from 2 practitioners
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

52 Hyers St
Toms River, NJ 08753
Phone (732) 281-2060

52 Hyers St
Ste 3
Toms River, NJ 08753
Phone (732) 281-1060

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1669877981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 HYERS ST STE 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537465",
            "telephone_number": "732-281-2060",
            "fax_number": "732-281-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 HYERS ST STE 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537465",
            "telephone_number": "732-281-2060",
            "fax_number": "732-281-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL SOLUTIONS NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "732-281-2060",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05573900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.