Organization Active NPI

Be Well Psychotherapy, LLC

  • Mental Health Counselor
  • West Caldwell, NJ
National Provider Identifier
1730723438
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BE WELL PSYCHOTHERAPY, LLC
Practice address
175 Fairfield Ave Ste 1C
West Caldwell, NJ 07006-6415
Phone
(973) 886-8300
NPI assigned
Nov 5, 2019
Last updated
Nov 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Lauren F Taibi, LPC
Title
Owner/Director
Phone
(973) 886-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

175 Fairfield Ave Ste 1C
West Caldwell, NJ 07006-6415

Mailing address

175 Fairfield Ave Ste 1C
West Caldwell, NJ 07006-6415
Phone (973) 886-8300

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.bewellcaldwell.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200417001641 NJ Part B Supplier - Clinic/Group Practice 0042640807 Receives reassigned benefits from 8 practitioners
Practice locations: West Caldwell, NJ

National Provider Directory

National Provider Directory

Locations

175 Fairfield Ave
Ste 1C
West Caldwell, NJ 07006
Phone (201) 306-4374

Practitioners & affiliated clinicians

Practitioners 9

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": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1730723438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FAIRFIELD AVE STE 1C",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066415",
            "telephone_number": "973-886-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FAIRFIELD AVE STE 1C",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066415",
            "telephone_number": "973-886-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "TAIBI",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "973-886-8300",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bewellcaldwell.com",
            "affiliation": "N",
            "endpointDescription": "Be Well Psychotherapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "175 Fairfield Ave Ste 1C",
            "city": "West Caldwell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070066415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.