NPIMap

Organization Active NPI

Renewing Minds

Doing business as Ellie Mental Health

  • Mental Health Counselor
  • Woodbridge, NJ
National Provider Identifier
1720801806
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RENEWING MINDS
Doing business as
Ellie Mental Health
Practice address
1000 Route 9 N Ste 204
Woodbridge, NJ 07095-1200
Phone
(908) 279-4227
NPI assigned
Nov 6, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Mr. Jalen WashingtonNPI 1386005411
Title
Owner
Phone
(908) 279-4227

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1000 Route 9 N Ste 204
Woodbridge, NJ 07095-1200

Mailing address

1000 Route 9 N Ste 204
Woodbridge, NJ 07095-1200
Phone (908) 279-4227

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250414001586 NJ Part B Supplier - Clinic/Group Practice 8123542958 Receives reassigned benefits from 2 practitioners
Practice locations: Woodbridge, NJ

National Provider Directory

National Provider Directory

Locations

1000 US Highway 9 N
Ste 204
Woodbridge, NJ 07095
Phone (848) 279-8031

Practitioners & affiliated clinicians

Practitioners 11

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": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1720801806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 9 N STE 204",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951200",
            "telephone_number": "908-279-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 9 N STE 204",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951200",
            "telephone_number": "908-279-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWING MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "JALEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-279-4227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.