EVERNORTH BEHAVIORAL CARE GROUP OF NEW JERSEY, P.C.
NPI 1104602234
Counselor in Lake Mary, FL

Active since September 05, 2023
255 TECHNOLOGY PARK, LAKE MARY, FL 32746(877) 501-7991 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2023, Sep 5, 2023 (2 updates tracked since 2023).

About Evernorth Behavioral Care Group Of New Jersey, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERNORTH BEHAVIORAL CARE GROUP OF NEW JERSEY, P.C. (NPI 1104602234) is a healthcare organization registered as a counselor in Lake Mary, Florida and active in the NPI registry since September 2023. The organization lists Elizabeth Nelson, Legal Counsel, as its authorized official.

NPPES Registry Identity

NPI1104602234
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameEVERNORTH BEHAVIORAL CARE GROUP OF NEW JERSEY, P.C.
Location Address255 TECHNOLOGY PARKLake Mary, FL 32746-6211
Mailing Address625 Market St Fl 15San Francisco, CA 94105-3316
Organization SubpartNo
Authorized OfficialElizabeth NelsonLegal Counsel · (843) 540-7108
Enumeration DateSeptember 5, 2023
Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
NPI 1104602234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedPsychologistTaxonomy 103T00000X
255 TECHNOLOGY PARK, Lake Mary, FL 32746

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
255 TECHNOLOGY PARK
LAKE MARY, FL 32746
Counselor
255 TECHNOLOGY PARK
LAKE MARY, FL 32746
Counselor
255 TECHNOLOGY PARK
LAKE MARY, FL 32746

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evernorth Behavioral Care Group Of New Jersey, P.C.'s NPI number?

The NPI number for Evernorth Behavioral Care Group Of New Jersey, P.C. is 1104602234. It was assigned to this organization in the NPPES registry on September 5, 2023.

Where is Evernorth Behavioral Care Group Of New Jersey, P.C. located?

Evernorth Behavioral Care Group Of New Jersey, P.C. is located at 255 Technology Park, Lake Mary, FL 32746. The listed phone number is (877) 501-7991.

What is Evernorth Behavioral Care Group Of New Jersey, P.C.'s specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Evernorth Behavioral Care Group Of New Jersey, P.C. was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.