Organization Active NPI

Emayzing Minds LLC

  • Community/Behavioral Health Agency
  • Hammonton, NJ
National Provider Identifier
1750183893
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMAYZING MINDS LLC
Practice address
225B S Washington St
Hammonton, NJ 08037-1233
Phone
(609) 576-2142
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Ethan Mays, LCSWNPI 1821584962
Title
License Therapist
Phone
(609) 576-2142

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

225B S Washington St
Hammonton, NJ 08037-1233

Mailing address

225B S Washington St
Hammonton, NJ 08037-1233
Phone (609) 576-2142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250610003641 NJ Part B Supplier - Clinic/Group Practice 4082124862 Receives reassigned benefits from 1 practitioner
Practice locations: Hammonton, NJ

National Provider Directory

National Provider Directory
Tax ID family
Emayzing Minds LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1750183893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225B S WASHINGTON ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371233",
            "telephone_number": "609-576-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225B S WASHINGTON ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371233",
            "telephone_number": "609-576-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMAYZING MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "LICENSE THERAPIST",
        "authorized_official_telephone_number": "609-576-2142",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.