ST MICHAEL MENTAL CARE CONSULT LLC
NPI 1194447144
Nurse Practitioner - Psychiatric/Mental Health in East Orange, NJ

Q: What is St Michael Mental Care Consult LLC's NPI number?

The NPI number for St Michael Mental Care Consult LLC is 1194447144. It was assigned to this organization in the NPPES registry on September 15, 2022.

Q: What is St Michael Mental Care Consult LLC's specialty?

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

Active since September 15, 2022

90 WASHINGTON ST, EAST ORANGE, NJ 07017(973) 304-5180(973) 399-3786 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2025, Sep 15, 2022 (2 updates tracked since 2022).

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About St Michael Mental Care Consult Llc NPPES

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

ST MICHAEL MENTAL CARE CONSULT LLC (NPI 1194447144) is a healthcare organization registered as a psychiatric/mental health in East Orange, New Jersey and active in the NPI registry since September 2022. The organization maintains a secondary practice location in Brooklyn and lists Michael Enwere, Apn/owner, as its authorized official.

NPPES Registry Identity

NPI1194447144

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameST MICHAEL MENTAL CARE CONSULT LLC

Location Address90 WASHINGTON STEast Orange, NJ 07017-1050

Mailing Address95 Grant PlIrvington, NJ 07111-1441 · (973) 304-5180 · Fax (973) 399-3786

Phone(973) 304-5180

Fax(973) 399-3786

Organization SubpartNo

Authorized OfficialMichael EnwereApn/owner · (973) 412-6427

Enumeration DateSeptember 15, 2022

Last NPPES UpdateFebruary 11, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2026

✔ NPI 1194447144 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

90 WASHINGTON ST, East Orange, NJ 07017

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Secondary Practice Location 1

Location 1367 Saint Marks Ave # 1215Brooklyn, NY 11238-2268 · Phone (973) 304-5180 · Fax (973) 399-3786

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)

St Michael Mental Care Consult Llc 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 St Michael Mental Care Consult LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Enwere

Nurse Practitioner

NPI 1417548652

99 BEAUVOIR AVE
Summit, NJ 07901

(908) 522-2000

✔ PECOS✔ Accepts Medicare8.2 mi

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 St Michael Mental Care Consult LLC's NPI number?

The NPI number for St Michael Mental Care Consult LLC is 1194447144. It was assigned to this organization in the NPPES registry on September 15, 2022.

Where is St Michael Mental Care Consult LLC located?

St Michael Mental Care Consult LLC is located at 90 Washington St, East Orange, NJ 07017. The listed phone number is (973) 304-5180.

What is St Michael Mental Care Consult LLC's specialty?

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

Is St Michael Mental Care Consult LLC enrolled in Medicare?

Yes. St Michael Mental Care Consult LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Michael Mental Care Consult LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to St Michael Mental Care Consult LLC. 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 St Michael Mental Care Consult LLC was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.