Healthcare Provider Details

I. General information

NPI: 1972236792
Provider Name (Legal Business Name): SIMPLY REDEFINING WELLNESS & COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 WASHINGTON BLVD STE 300
JERSEY CITY NJ
07310-1625
US

IV. Provider business mailing address

525 WASHINGTON BLVD STE 300
JERSEY CITY NJ
07310-1625
US

V. Phone/Fax

Practice location:
  • Phone: 347-790-0156
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANELLE THOMPSON
Title or Position: OWNER
Credential: LMHC, LPC, NCC, ACS
Phone: 347-790-0156