Ernest Mitchell III, M.DIV., ED.S

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3TP11-019 Issued in NJ

Practice address

2733 Nottingham Way Ste L2
Hamilton, NJ 08619-1814

Phone

(609) 367-4699

Fax

(609) 871-1498

NPI assigned

Aug 18, 2011

Last updated

Aug 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1104106327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 NOTTINGHAM WAY STE L2",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191814",
            "telephone_number": "609-367-4699",
            "fax_number": "609-871-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 NOTTINGHAM WAY STE L2",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191814",
            "telephone_number": "609-367-4699",
            "fax_number": "609-871-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ERNEST",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.DIV., ED.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "3TP11-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.