Individual provider Active NPI

Thomas McGowan Jr., LPC

  • Professional Counselor
  • Marlton, NJ
National Provider Identifier
1114597838
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00170800 Issued in NJ
Practice address
751 Route 73 N Ste 11
Marlton, NJ 08053-3456
Phone
(267) 225-1972
Fax
(856) 389-3134
NPI assigned
Jun 25, 2021
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00170800 NJ Primary

Addresses

Primary practice location

751 Route 73 N Ste 11
Marlton, NJ 08053-3456

Mailing address

1300 Reamer Dr Ste 306-C
Barrington, NJ 08007-1703
Phone (609) 203-0886

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL southjerseycopingclinic@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00170800NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Jersey Coping Clinic LLC Professional CurrentSince Sep 15, 2025 Accepting new patients

Locations

751 Route 73 N
Ste 11
Marlton, NJ 08053
Phone (267) 225-1972

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1114597838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 REAMER DR STE 306-C",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071703",
            "telephone_number": "609-203-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 ROUTE 73 N STE 11",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533456",
            "telephone_number": "267-225-1972",
            "fax_number": "856-389-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00170800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "southjerseycopingclinic@gmail.com",
            "affiliation": "N",
            "endpointDescription": "secure company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "751 Route 73 N Ste 11",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080533456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.