Elyse Ileana Rosales-Baker, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00875700 Issued in NJ

Practice address

35 Journal Square Plaza
Suite 915
Jersey City, NJ 07306

Phone

(973) 512-5088

NPI assigned

May 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  NJ

  Medicare reassignment NPD
• Lifebulb LLC

  • Mental Health Counselor
  • Toms River, NJ
  • NPI 1699491464
  NPD (past)
• Dr. Karla Fallon, PHD, LMHC, Licensed Mental Health Counseling

  • Mental Health Counselor
  • New York, NY
  • NPI 1568177970
  NPD (past)

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1770105876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 BOULEVARD E APT 34L",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934849",
            "telephone_number": "732-277-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOURNAL SQUARE PLAZA",
            "address_2": "SUITE 915",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "973-512-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES-BAKER",
        "first_name": "ELYSE",
        "middle_name": "ILEANA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012160",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00875700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "support@thriveworks.com",
            "affiliation": "N",
            "endpointDescription": "client can contact if in need oh PHI",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "for scheduling",
            "address_1": "35 Journal square plaza",
            "address_2": "suite 915",
            "city": "jersey city",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cesar Ruben Roque Jr., M.D.
• George Ros
• John Daniel Rosa, DDS
• Gladys Rosado
• Matthew Rosado, LCSW
• Rosario E. Magno Int'L Staffing, Inc.
• Gabrielle Catherine Rosati, PA-C
• Natalie Rosborough, DAC, MSAC
• Samantha Rose
• Roseland Development Agency LLC

• Professional Counselor in Jersey City, NJ
• Providers in Jersey City, 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 Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.