Organization Active NPI

Holistic Counseling Services

  • Clinical Social Worker
  • Turnersville, NJ
National Provider Identifier
1083953574
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05533700 Issued in NJ
Legal business name
HOLISTIC COUNSELING SERVICES
Practice address
4101 Route 42
Suite B
Turnersville, NJ 08012-1782
Phone
(856) 318-1581
Fax
(856) 318-1583
NPI assigned
Feb 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Mrs. Taunjenette Antrease Poole, MTS, MSW, LCSWNPI 1700127586
Title
Ceo/Owner
Phone
(856) 318-1581

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC05533700 NJ Primary
Community/Behavioral Health Agency 251S00000X 44SC05533700 NJ

Addresses

Primary practice location

4101 Route 42
Suite B
Turnersville, NJ 08012-1782

Mailing address

4101 Route 42
Suite B
Turnersville, NJ 08012-1782
Phone (856) 318-1581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260512001057 NJ Part B Supplier - Clinic/Group Practice 2860961554 Receives reassigned benefits from 1 practitioner
Practice locations: Marlton, NJ

National Provider Directory

National Provider Directory

Locations

4101 Route 42
Ste B
Turnersville, NJ 08012
Phone (856) 318-1581

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": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1083953574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 ROUTE 42",
            "address_2": "SUITE B",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121782",
            "telephone_number": "856-318-1581",
            "fax_number": "856-318-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 ROUTE 42",
            "address_2": "SUITE B",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121782",
            "telephone_number": "856-318-1581",
            "fax_number": "856-318-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "TAUNJENETTE",
        "authorized_official_middle_name": "ANTREASE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "856-318-1581",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MTS, MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05533700",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05533700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.