NPIMap

Organization Active NPI

Jennifer Baker, LLC

Doing business as Active Therapeutic Solutions

  • Community/Behavioral Health Agency
  • Forked River, NJ
National Provider Identifier
1962935726
Registry record updated Apr 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37PC00480700 Issued in NJ
Legal business name
JENNIFER BAKER, LLC
Doing business as
Active Therapeutic Solutions
Practice address
1044 Lacey Rd
Forked River, NJ 08731-1051
Phone
(732) 581-2178
Fax
(609) 971-3767
NPI assigned
Apr 9, 2017
Last updated
Apr 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2017

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

Authorized official

Name
Miss Jennifer Baker, LPC, RPT, ACSNPI 1285061747
Title
Owner
Phone
(732) 581-2178

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 37PC00480700 NJ Primary

Addresses

Primary practice location

1044 Lacey Rd
Forked River, NJ 08731-1051

Mailing address

1044 Lacey Rd
Forked River, NJ 08731-1051
Phone (732) 581-2178

Other identifiers 1

IdentifierTypeStateIssuer
0542962MedicaidNJ

Other names 1

  • Active Therapeutic Solutions Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491696000000",
    "number": "1962935726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311051",
            "telephone_number": "732-581-2178",
            "fax_number": "609-971-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311051",
            "telephone_number": "732-581-2178",
            "fax_number": "609-971-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BAKER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-09",
        "last_updated": "2017-04-09",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-581-2178",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC, RPT, ACS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00480700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0542962",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Therapeutic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2017; 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.