NPIMap

Organization Active NPI

Magellan Wellness & Performance

  • Adolescent and Children Mental Health Clinic/Center
  • Neptune, NJ
National Provider Identifier
1710860614
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MAGELLAN WELLNESS & PERFORMANCE
Practice address
516 Woodmere Ave
Neptune, NJ 07753-5636
Phone
(908) 309-5623
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Dario Magalhaes Costa, LPCNPI 1619729654
Title
Director/Founder
Phone
(908) 309-5623

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

516 Woodmere Ave
Neptune, NJ 07753-5636

Mailing address

516 Woodmere Ave
Neptune, NJ 07753-5636

Other names 1

  • Magellan Counseling Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1710860614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 WOODMERE AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077535636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 WOODMERE AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077535636",
            "telephone_number": "908-309-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLAN WELLNESS & PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "DARIO",
        "authorized_official_middle_name": "MAGALHAES",
        "authorized_official_title_or_position": "DIRECTOR/FOUNDER",
        "authorized_official_telephone_number": "908-309-5623",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magellan Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.