Individual provider Active NPI

Joyce Johnson, LCSW

  • Mental Health Counselor
  • Collingswood, NJ
National Provider Identifier
1104186824
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC01487000 Issued in NJ
Practice address
566 Haddon Ave
Collingswood, NJ 08108-1444
Phone
(856) 858-9314
Fax
(856) 858-5672
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC01487000 NJ Primary

Addresses

Primary practice location

566 Haddon Ave
Collingswood, NJ 08108-1444

Mailing address

2003 Lincoln Dr W Ste C
Marlton, NJ 08053-1529
Phone (856) 596-8007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121025000131 NJ Practitioner - Clinical Social Worker 2769632991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 W High St
Suite B
Glassboro, NJ 08028-2526
Phone (856) 842-2574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC01487000NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health and Wellness Opportunity Center Mental Health CurrentSince May 18, 2024 Accepting new patients

Locations

900 Haddon Ave
Ste 413
Collingswood, NJ 08108
Phone (856) 842-2574

200 W High St
#B
Glassboro, NJ 08028
Phone (856) 422-9296

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1104186824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 LINCOLN DR W STE C",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531529",
            "telephone_number": "856-596-8007",
            "fax_number": "856-596-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081444",
            "telephone_number": "856-858-9314",
            "fax_number": "856-858-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOYCE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC01487000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

Verify at the official NPI Registry.