Organization Active NPI

Graceful Beginnings LLC

  • Adult Mental Health Clinic/Center
  • Jackson, NJ
National Provider Identifier
1811754328
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GRACEFUL BEGINNINGS LLC
Practice address
76 Whitesville Rd
Jackson, NJ 08527-5115
Phone
(848) 285-9830
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Authorized official

Name
Geralda Vilus, NPNPI 1407201627
Title
Psychiatric Nurse Practitioner
Phone
(732) 407-6396

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

76 Whitesville Rd
Jackson, NJ 08527-5115

Mailing address

76 Whitesville Rd
Jackson, NJ 08527-5115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240509003513 NJ Part B Supplier - Clinic/Group Practice 5890136741 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, NJ

National Provider Directory

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": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709942400000",
    "number": "1811754328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 WHITESVILLE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 WHITESVILLE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275115",
            "telephone_number": "848-285-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL BEGINNINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "VILUS",
        "authorized_official_first_name": "GERALDA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "732-407-6396",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; 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.