Active NPI
Thomas McGowan Jr., LPC
- Professional Counselor
- Marlton, NJ
National Provider Identifier
1114597838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00170800
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00170800 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jersey Coping Clinic LLC | Professional | Current | 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.