Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIBLUNE WELLNESS HEALTH CARE CENTER LLC
NPI 1619659117
Nurse Practitioner - Psychiatric/Mental Health in East Orange, NJ

Active since August 03, 2023
576 CENTRAL AVE STE 303, EAST ORANGE, NJ 07018(201) 407-0566 Get Directions Write a Review

NPPES record last updated: October 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Liblune Wellness Health Care Center Llc NPPES

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

LIBLUNE WELLNESS HEALTH CARE CENTER LLC (NPI 1619659117) is a healthcare organization registered as a psychiatric/mental health in East Orange, New Jersey and active in the NPI registry since August 2023. The organization lists Suzie Collin, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1619659117
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIBLUNE WELLNESS HEALTH CARE CENTER LLC
Location Address576 CENTRAL AVE STE 303East Orange, NJ 07018-1974
Mailing Address109 E Broad St Apt CWestfield, NJ 07090-2274 · (201) 407-0566 · Fax (908) 233-9562
Organization SubpartNo
Authorized OfficialSuzie CollinAuthorized Official · (201) 407-0566
Enumeration DateAugust 3, 2023
Last NPPES UpdateOctober 24, 2026
NPPES CertifiedOctober 24, 2026
✔ NPI 1619659117 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
576 CENTRAL AVE STE 303, East Orange, NJ 07018

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liblune Wellness Health Care Center 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 Liblune Wellness Health Care Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1831773282
576 CENTRAL AVE STE 303
East Orange, NJ 07018
(201) 407-0566
✔ 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 Liblune Wellness Health Care Center LLC's NPI number?

The NPI number for Liblune Wellness Health Care Center LLC is 1619659117. It was assigned to this organization in the NPPES registry on August 3, 2023.

Where is Liblune Wellness Health Care Center LLC located?

Liblune Wellness Health Care Center LLC is located at 576 Central Ave Ste 303, East Orange, NJ 07018. The listed phone number is (201) 407-0566.

What is Liblune Wellness Health Care Center LLC's specialty?

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

Is Liblune Wellness Health Care Center LLC enrolled in Medicare?

Yes. Liblune Wellness Health Care Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liblune Wellness Health Care Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Liblune Wellness Health Care Center 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 Liblune Wellness Health Care Center LLC was last updated on October 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.