CLASSIC WELLNESS FAMILY MENTAL HEALTH PRACTICE LLC
NPI 1801427810
Nurse Practitioner - Psychiatric/Mental Health in Union, NJ

Active since January 29, 2020
540 NORTH AVE STE 3, UNION, NJ 07083(718) 325-4669 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Classic Wellness Family Mental Health Practice Llc NPPES

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

CLASSIC WELLNESS FAMILY MENTAL HEALTH PRACTICE LLC (NPI 1801427810) is a healthcare organization registered as a psychiatric/mental health in Union, New Jersey and active in the NPI registry since January 2020. The organization lists Chinenye Okoro, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801427810
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCLASSIC WELLNESS FAMILY MENTAL HEALTH PRACTICE LLC
Location Address540 NORTH AVE STE 3Union, NJ 07083-7149
Mailing Address1220 Victor AveUnion, NJ 07083-3706
Organization SubpartNo
Authorized OfficialChinenye OkoroCeo · (718) 325-4669
Enumeration DateJanuary 29, 2020
✔ NPI 1801427810 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
540 NORTH AVE STE 3, Union, NJ 07083

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 MULTIPLE 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)

Classic Wellness Family Mental Health Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Classic Wellness Family Mental Health Practice LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1023325172
540 NORTH AVE
Union, NJ 07083
(908) 355-5500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790019644
1220 VICTOR AVE
Union, NJ 07083
(718) 325-4669
✔ PECOS2.4 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 Classic Wellness Family Mental Health Practice LLC's NPI number?

The NPI number for Classic Wellness Family Mental Health Practice LLC is 1801427810. It was assigned to this organization in the NPPES registry on January 29, 2020.

Where is Classic Wellness Family Mental Health Practice LLC located?

Classic Wellness Family Mental Health Practice LLC is located at 540 North Ave Ste 3, Union, NJ 07083. The listed phone number is (718) 325-4669.

What is Classic Wellness Family Mental Health Practice LLC's specialty?

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

Is Classic Wellness Family Mental Health Practice LLC enrolled in Medicare?

Yes. Classic Wellness Family Mental Health Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Classic Wellness Family Mental Health Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Classic Wellness Family Mental Health Practice 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Classic Wellness Family Mental Health Practice LLC was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.