MEDICARE: WELLNESS COUNSELING OF NJ LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1780526475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS COUNSELING OF NJ LLC

Provider Business Mailing Address
First Line	:	7 CARLA CT
Second Line	:
City	:	ROCKAWAY
State	:	NJ
Zip	:	07866-2201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 CARLA CT
Second Line	:
City	:	ROCKAWAY
State	:	NJ
Zip	:	07866-2201
Country	:	US
Telephone Number	:	862-243-5851
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMY L ROBINSON
Credential	:	LPC
Telephone Number	:	973-945-9763

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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