OrganizationActive
Integrated Care Consulting LLC
NPI 1811416019 · Adolescent and Children Mental Health Clinic/Center · Eatontown, NJ
Provider details
- NPI number
- 1811416019
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elena Hammer, Billing Manager(732) 389-0697
Specialties & taxonomies
Ambulatory Health Care Facilities
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
615 Hope Road, Bldg 5b, 2nd Floor
Eatontown, NJ 07724-1277
Phone: (732) 389-0697
Fax: (732) 389-0611
Street-level locationGet directions
Mailing address
134 Lighthouse Dr
Waretown, NJ 08758-2015
Additional practice locations (3)
- 19 N County Line RdJackson, NJ 08527-1466Phone: (732) 389-0697Fax: (732) 389-0611
- 18 Kings Hwy Ste 206Middletown, NJ 07748-2509Phone: (732) 389-0697Fax: (732) 389-0611
- 8 Hillside Ave Ste 108-6Montclair, NJ 07042-2129Phone: (732) 389-0697Fax: (732) 389-0611
Registry dates
- Enumerated
- 2017-09-19
- Last updated
- 2023-03-15
- Certified
- 2023-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.