Organization Active NPI

Juniper Tree Counseling

  • Clinical Social Worker
  • Haddon Heights, NJ
National Provider Identifier
1114558871
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JUNIPER TREE COUNSELING
Practice address
400 White Horse Pike Ste 105
Haddon Heights, NJ 08035-1707
Phone
(856) 452-0045
Fax
(856) 452-0046
NPI assigned
Jan 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Joanna Dougherty, LCSWNPI 1295135887
Title
Owner
Phone
(856) 452-0045

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

400 White Horse Pike Ste 105
Haddon Heights, NJ 08035-1707

Mailing address

400 White Horse Pike Ste 105
Haddon Heights, NJ 08035-1707
Phone (856) 452-0045

Other practice location 1

17 Tanner St
Haddonfield, NJ 08033-2403
Phone (856) 452-0045

Other practice location 2

79 E Main St # 12
Marlton, NJ 08053-2139
Phone (856) 452-0045 ext. 100

Other practice location 3

304 Newton Ave Ste 240A
Oaklyn, NJ 08107-1446
Phone (856) 452-0045

National Provider Directory

National Provider Directory

Locations

400 White Horse Pike
Ste 105
Haddon Heights, NJ 08035
Phone (856) 452-0045

17 Tanner St
Haddonfield, NJ 08033
Phone (609) 410-8339

76 E Main St
#12
Marlton, NJ 08053

304 Newton Ave
Ste 240A
Oaklyn, NJ 08107
Phone (856) 452-0045

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": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1114558871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WHITE HORSE PIKE STE 105",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351707",
            "telephone_number": "856-452-0045",
            "fax_number": "856-452-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WHITE HORSE PIKE STE 105",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351707",
            "telephone_number": "856-452-0045",
            "fax_number": "856-452-0046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Tanner St",
            "address_purpose": "LOCATION",
            "city": "Haddonfield",
            "state": "NJ",
            "postal_code": "080332403",
            "country_code": "US",
            "telephone_number": "856-452-0045",
            "fax_number": "856-452-0046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 E Main St # 12",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532139",
            "country_code": "US",
            "telephone_number": "856-452-0045 x100",
            "fax_number": "856-452-0046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 Newton Ave Ste 240A",
            "address_purpose": "LOCATION",
            "city": "Oaklyn",
            "state": "NJ",
            "postal_code": "081071446",
            "country_code": "US",
            "telephone_number": "856-452-0045",
            "fax_number": "856-452-0046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUNIPER TREE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-452-0045",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.