Family Health and Wellness Opportunity Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FAMILY HEALTH AND WELLNESS OPPORTUNITY CENTER

Practice address

200 W High St Ste B
Glassboro, NJ 08028-2526

Phone

(856) 422-9296

Fax

(856) 422-9299

NPI assigned

May 18, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jesse M. Cooper Sr., PH.DNPI 1104111970

Title

Executive Director

Phone

(856) 858-5850

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joyce Johnson, LCSW

  • Mental Health Counselor
  • Collingswood, NJ
  • NPI 1104186824
  Medicare reassignment NPD
• Jesse M Cooper Sr., PHD

  • Addiction (Substance Use Disorder) Counselor
  • Collingswood, NJ
  • NPI 1104111970
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1003109471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W HIGH ST STE B",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282526",
            "telephone_number": "856-422-9296",
            "fax_number": "858-422-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W HIGH ST STE B",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282526",
            "telephone_number": "856-422-9296",
            "fax_number": "856-422-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH AND WELLNESS OPPORTUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-858-5850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Evans, MSW, LSW, CADC
• Bianca Falso
• Famcare Inc.
• Famcare, Inc
• Famcare, Inc.
• Islam Fayed, M.D.
• Nina Fedoryka
• Roni Feldman, APN
• Anne Fetherston, PHD
• Ian Fiore

• Mental Health Counselor in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.