Mental Health Association of Monmouth County

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MENTAL HEALTH ASSOCIATION OF MONMOUTH COUNTY

Practice address

106 Apple St Ste 110
Tinton Falls, NJ 07724-2670

Phone

(732) 542-6422

Fax

(732) 542-2477

NPI assigned

Oct 16, 2017

Last updated

Mar 3, 2025By 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

Mr. Achille Dejean

Title

Executive Director

Phone

(732) 542-6422

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Mental Health Association4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Mental Health Association

  • Exclusive Provider Organization
  • Tinton Falls, NJ
  • NPI 1417165358
  NPD tax ID
• Mental Health Association of Monmouth County

  • Case Management Agency
  • Tinton Falls, NJ
  • NPI 1144027657
  NPD tax ID
• Mental Health Association of Monmouth County

  • Case Management Agency
  • Tinton Falls, NJ
  • NPI 1407387640
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mental Health Association of Monmouth County

  • Case Management Agency
  • Tinton Falls, NJ
  • NPI 1144027657
  NPPES parent name
• Mental Health Association of Monmouth County

  • Case Management Agency
  • Tinton Falls, NJ
  • NPI 1407387640
  NPPES parent name

Practitioners 2

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.

• Kristine Lane, LCSW

  • Clinical Social Worker
  • Tinton Falls, NJ
  • NPI 1518698554
  Medicare reassignment NPD
• Mackenzie McDermott

  • Social Worker
  • Wall Township, NJ
  • NPI 1679033278
  Medicare reassignment NPD

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1841701083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 APPLE ST STE 110",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242670",
            "telephone_number": "732-542-6422",
            "fax_number": "732-542-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 APPLE ST STE 110",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242670",
            "telephone_number": "732-542-6422",
            "fax_number": "732-542-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION OF MONMOUTH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "DEJEAN",
        "authorized_official_first_name": "ACHILLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-542-6422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596493",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anuj Vishanraj Mehta, M.D.
• Angela Theresa Mele-Craig
• Mental Health Association
• Mental Health Association of Monmouth County
• Mental Health Association of Monmouth County
• Michael Angelo Pathways
• Mid Atlantic Rehabilitation Consultants, LLC
• Steven E Miller, D.O.
• Evelyn Minaya, M.D.
• Mira Vie at Tinton Falls Opco LLC (Mira Vie at Tinton Falls)

• Mental Health Counselor in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.