Organization Active NPI

Indigo Therapy and Wellness

  • Adult Mental Health Clinic/Center
  • Cherry Hill, NJ
National Provider Identifier
1063111680
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
INDIGO THERAPY AND WELLNESS
Practice address
525 Bancroft Rd
Cherry Hill, NJ 08034-1302
Phone
(267) 980-0878
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Jessica Bonner, MSNPI 1023771839
Title
Owner
Phone
(267) 980-0878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

525 Bancroft Rd
Cherry Hill, NJ 08034-1302

Mailing address

525 Bancroft Rd
Cherry Hill, NJ 08034-1302
Phone (267) 980-0878

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1063111680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BANCROFT RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341302",
            "telephone_number": "267-980-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BANCROFT RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341302",
            "telephone_number": "267-980-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-980-0878",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.