Embodied Heart Mind LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EMBODIED HEART MIND LLC

Practice address

1901 N Olden Avenue Ext
Ewing, NJ 08618-2111

Phone

(973) 358-5558

NPI assigned

Dec 22, 2019

Last updated

Sep 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lissa EdmondNPI 1740642503

Title

Owner/Apn

Phone

(973) 358-5558

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, and the practitioner matching its NPPES authorized official.

• Lissa Edmond, APN-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Ewing, NJ
  • NPI 1740642503
  Authorized official Same address or phone

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

{
    "created_epoch": "1576972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1790324747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7158",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089027158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "973-358-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED HEART MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-22",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "EDMOND",
        "authorized_official_first_name": "LISSA",
        "authorized_official_title_or_position": "OWNER/APN",
        "authorized_official_telephone_number": "973-358-5558"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lissa Edmond, APN-C
• Nathalie Edmond, PSY.D.
• Education Cafe and Entertainment LLC
• Dahlia Elbaum, OD
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• Enable, Inc.
• Enable, Inc.
• Enable, Inc.
• Enable, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.