Organization Active NPI

CHR Behavioral Health Partners, LLC

  • Mental Health Counselor
  • Union, NJ
National Provider Identifier
1699832733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHR BEHAVIORAL HEALTH PARTNERS, LLC
Practice address
2143 Morris Ave
Suite #4
Union, NJ 07083-6036
Phone
(908) 851-2223
Fax
(908) 851-2772
NPI assigned
Jan 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lisa Ivette Hernandez, MSWNPI 1407913544
Title
Owner
Phone
(908) 851-2223

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X NJ Primary

Addresses

Primary practice location

2143 Morris Ave
Suite #4
Union, NJ 07083-6036

Mailing address

2143 Morris Ave
Suite #4
Union, NJ 07083-6036
Phone (908) 851-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190404002759 NJ Part B Supplier - Clinic/Group Practice 1153662911 Receives reassigned benefits from 1 practitioner
Practice locations: Union, NJ

National Provider Directory

National Provider Directory

Locations

2143 Morris Ave
Ste 4
Union, NJ 07083
Phone (908) 759-5782

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699832733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 MORRIS AVE",
            "address_2": "SUITE #4",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836036",
            "telephone_number": "908-851-2223",
            "fax_number": "908-851-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 MORRIS AVE",
            "address_2": "SUITE #4",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836036",
            "telephone_number": "908-851-2223",
            "fax_number": "908-851-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHR BEHAVIORAL HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-851-2223",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.