Wintertree Psychotherapy

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

44SC05749600 Issued in NJ

Legal business name

WINTERTREE PSYCHOTHERAPY

Practice address

129 Valley Rd
Montclair, NJ 07042-2331

Phone

(973) 650-1832

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Karen Lee Benenson, MSW, LCSWNPI 1205365160

Title

Owner

Phone

(973) 650-1832

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Karen Lee Benenson, LCSW

  • Clinical Social Worker
  • Caldwell, NJ
  • NPI 1205365160
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1902310196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COBBLESTONE TER",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459490",
            "telephone_number": "973-650-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 VALLEY RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422331",
            "telephone_number": "973-650-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTERTREE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "BENENSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-650-1832",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "44SC05749600",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "44SC",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1",
            "identifier": "1205365160",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Williams
• Arnold Wilson, PH.D.
• Kathryn Wilt, OTR/L
• Celeste R Winberry, LCSW
• Linda Winful, APN
• Diana Gail Wische, CRNA
• Wise Health Pro
• Melissa Wish, LSW
• Jill Kimberly Wodnick, MA, CD
• Victoria Anne Woertz, LCSW, RD

• Adult Mental Health Clinic/Center in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.