Wholehearted Healing Collective NJ Corp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WHOLEHEARTED HEALING COLLECTIVE NJ CORP

Practice address

1049 Broadway Ste 2
West Long Branch, NJ 07764-1335

Phone

(732) 852-7373

NPI assigned

Oct 28, 2022

Organization subpart

No

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

Authorized official

Name

Kristy MathewsNPI 1033647094

Title

Ceo

Phone

(732) 852-7373

Specialties & licenses 1

Addresses

Other names 1

• Wholehearted Healing Collective Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristy Danielle Mathews

  • Counselor
  • West Long Branch, NJ
  • NPI 1033647094

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1821705005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 BROADWAY STE 2",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641335",
            "telephone_number": "732-852-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 BROADWAY STE 2",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641335",
            "telephone_number": "732-852-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Broad St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077241534",
            "country_code": "US",
            "telephone_number": "732-852-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLEHEARTED HEALING COLLECTIVE NJ CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-852-7373"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@wholeheartedhc.org",
            "affiliation": "N",
            "endpointDescription": "administrative email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1049 Broadway Ste 2",
            "city": "West Long Branch",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077641335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wholehearted Healing Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martin L. Weinstock, DDS
• Joseph Weiss, RPH
• West Long Branch Board of Education
• Abigail Sarah Whetstone, DO
• Wholehearted Healing Collective LLC
• Bari Danielle Winik, M.D.
• WLB Medical Associates, P.C.
• Sarah Jenny Woodruff, LPC
• Richard L Worth, MD
• Esther Yi

• All providers in West Long Branch, NJ
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.