Connections Restored Therapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CONNECTIONS RESTORED THERAPY, LLC

Practice address

254 Waverly PL.
South Orange, NJ 07079

Phone

(973) 255-9188

NPI assigned

May 13, 2025

Organization subpart

No

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

Authorized official

Name

Tracy M Fredericks, LCSWNPI 1831851674

Title

Owner/Psychotherapist

Phone

(973) 255-9188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tracy Margaret Fredericks, LCSW, MSW

  • Clinical Social Worker
  • South Orange, NJ
  • NPI 1831851674
  NPD Authorized official

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1881485605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S ORANGE AVE",
            "address_2": "PMB#258",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791702",
            "telephone_number": "973-255-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 WAVERLY PL.",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "07079",
            "telephone_number": "973-255-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS RESTORED THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "FREDERICKS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "973-255-9188",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Comprehensive Home Care Services of NJ
• Teresa M Conklin, FNP
• Maureen C Considine, OD
• Christina Conti, CCC-SLP
• Mary Elizabeth Costello, NP
• Theodore Cowling, ATC
• Amy C. Cox-Martins, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.