Restore Mind and Body LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00145100 Issued in NJ

Legal business name

RESTORE MIND AND BODY LLC

Practice address

230 US Highway 206
Flanders, NJ 07836-9189

Phone

(973) 601-7788

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Laura Carite, MA LPC RYTNPI 1407973985

Title

Owner

Phone

(973) 601-7788

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Laura Carite, MA LPC

  • Professional Counselor
  • Flanders, NJ
  • NPI 1407973985
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730303884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LAKESIDE BLVD",
            "city": "HOPATCONG",
            "state": "NJ",
            "postal_code": "078431309",
            "telephone_number": "973-601-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 US HIGHWAY 206",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369189",
            "telephone_number": "973-601-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MIND AND BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARITE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-601-7788",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LPC RYT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00145100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Flanders, NJ
• Providers in Flanders, NJ by specialty
• Professional Counselor in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.