Active NPI
Bienestar Health Group, LLC
- Mental Health Counselor
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BIENESTAR HEALTH GROUP, LLC
- Practice address
- 638 Newark Ave
Jersey City, NJ 07306-2306 - Phone
- (201) 248-1795
- NPI assigned
- Mar 30, 2023
- Last updated
- Mar 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James J. Desantis, JD,MSW,LCSW
- Title
- Member
- Phone
- (201) 248-1795
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
638 Newark Ave
Jersey City, NJ 07306-2306
Mailing address
638 Newark Ave
Jersey City, NJ 07306-2306
Phone (201) 248-1795
Other practice location 1
467 Mount Prospect Ave
Newark, NJ 07104-2907
Phone (201) 248-1795
National Provider Directory
National Provider DirectoryLocations
638 Newark Ave
Jersey City, NJ 07306
Phone (201) 344-2350
Practitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Woodland Park, NJ
- NPI 1518313279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680134400000",
"number": "1861196909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 NEWARK AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062306",
"telephone_number": "201-248-1795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 NEWARK AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062306",
"telephone_number": "201-248-1795"
}
],
"practiceLocations": [
{
"address_1": "467 Mount Prospect Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071042907",
"country_code": "US",
"telephone_number": "201-248-1795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BIENESTAR HEALTH GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-30",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A",
"authorized_official_last_name": "DESANTIS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "201-248-1795",
"authorized_official_credential": "JD,MSW,LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.