Organization Active NPI

Jump Kids LLC

  • Mental Health Counselor
  • Newark, NJ
National Provider Identifier
1871104000
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JUMP KIDS LLC
Practice address
16 Foster St
Newark, NJ 07114-1327
Phone
(732) 344-0604
Fax
(973) 860-0743
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Laila Talibah Little
Title
Owner
Phone
(732) 344-0604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

16 Foster St
Newark, NJ 07114-1327

Mailing address

16 Foster St
Newark, NJ 07114-1327
Phone (732) 344-0604

Other names 1

  • Jumps Kids Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1871104000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FOSTER ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071141327",
            "telephone_number": "732-344-0604",
            "fax_number": "973-860-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FOSTER ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071141327",
            "telephone_number": "732-344-0604",
            "fax_number": "973-860-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMP KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "LAILA",
        "authorized_official_middle_name": "TALIBAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-344-0604"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jumps Kids Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.