INNER LIGHT MENTAL HEALTH AND ADDICTION SERVICES L.L.C
NPI 1124869797
Nurse Practitioner - Psychiatric/Mental Health in Union, NJ

Q: What is Inner Light Mental Health And Addiction Services L.L.C's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since June 05, 2024

1767 MORRIS AVE STE 303B, UNION, NJ 07083(973) 920-7328(973) 435-6873 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 9, 2024, Jun 5, 2024 (2 updates tracked since 2024).

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About Inner Light Mental Health And Addiction Services L.l.c NPPES

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

INNER LIGHT MENTAL HEALTH AND ADDICTION SERVICES L.L.C (NPI 1124869797) is a healthcare organization registered as a psychiatric/mental health in Union, New Jersey and active in the NPI registry since June 2024. The organization maintains a secondary practice location in North Salt Lake and lists Vanessa Doobay, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1124869797

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameINNER LIGHT MENTAL HEALTH AND ADDICTION SERVICES L.L.C

Location Address1767 MORRIS AVE STE 303BUnion, NJ 07083-3511

Mailing Address1767 Morris Ave Ste 303bUnion, NJ 07083-3511 · (862) 218-2616

Phone(973) 920-7328

Fax(973) 435-6873

Organization SubpartNo

Authorized OfficialVanessa DoobayPmhnp · (862) 218-2616

Enumeration DateJune 5, 2024

Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration

NPPES CertifiedAugust 20, 2025

✔ NPI 1124869797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

1767 MORRIS AVE STE 303B, Union, NJ 07083

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Secondary Practice Location 1

Location 11010 N 500 E Rm 224North Salt Lake, UT 84054-1947 · Phone (385) 354-4242 · Fax (973) 435-6873

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Inner Light Mental Health And Addiction Services L.l.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Inner Light Mental Health And Addiction Services L.L.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vanessa Doobay

Nurse Practitioner

NPI 1689449548

1767 MORRIS AVE STE 303B
Union, NJ 07083

(862) 218-2616

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Inner Light Mental Health And Addiction Services L.L.C's NPI number?

The NPI number for Inner Light Mental Health And Addiction Services L.L.C is 1124869797. It was assigned to this organization in the NPPES registry on June 5, 2024.

Where is Inner Light Mental Health And Addiction Services L.L.C located?

Inner Light Mental Health And Addiction Services L.L.C is located at 1767 Morris Ave Ste 303B, Union, NJ 07083. The listed phone number is (973) 920-7328.

What is Inner Light Mental Health And Addiction Services L.L.C's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Inner Light Mental Health And Addiction Services L.L.C enrolled in Medicare?

Yes. Inner Light Mental Health And Addiction Services L.L.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Inner Light Mental Health And Addiction Services L.L.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Inner Light Mental Health And Addiction Services L.L.C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Inner Light Mental Health And Addiction Services L.L.C was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.