Active NPI
Normandy Stover
- Mental Health Counselor
- Glassboro, NJ
National Provider Identifier
1003209768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S83175970058952
- Practice address
- 402 Azure LN
Glassboro, NJ 08028-2845 - Phone
- (609) 267-5928
- NPI assigned
- Mar 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S83175970058952 | NJ | Primary |
Addresses
Primary practice location
402 Azure LN
Glassboro, NJ 08028-2845
Mailing address
402 Azure Lane
Glassboro, NJ 08060
Phone (609) 267-5928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S83175970058952 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1003209768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 AZURE LANE",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "08060",
"telephone_number": "609-267-5928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 AZURE LN",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080282845",
"telephone_number": "609-267-5928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "NORMANDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "S83175970058952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glassboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.