Organization Active NPI

Behavioral Wellness Connection Be Well Connect

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, NJ
National Provider Identifier
1679080469
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
25NJ00323400 Issued in NJ
Legal business name
BEHAVIORAL WELLNESS CONNECTION BE WELL CONNECT
Practice address
22 Gordon Ave
Lawrenceville, NJ 08648
Phone
(609) 844-0452
Fax
(609) 844-0518
NPI assigned
Jan 3, 2018
Last updated
Jan 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Authorized official

Name
Dr. Lizbeth A. Smith, DRNPNPI 1568752723
Title
Owner
Phone
(609) 844-0452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25NJ00323400 NJ Primary

Addresses

Primary practice location

22 Gordon Ave
Lawrenceville, NJ 08648

Mailing address

P.O. 6573
Lawrenceville, NJ 08648-6573
Phone (609) 844-0452

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1679080469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. 6573",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086486573",
            "telephone_number": "609-844-0452",
            "fax_number": "609-844-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 GORDON AVE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-844-0452",
            "fax_number": "609-844-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL WELLNESS CONNECTION BE WELL CONNECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LIZBETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-844-0452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "25NJ00323400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.