Organization Active NPI

The Solasta Group

Doing business as Solasta Counseling Center

  • Mental Health Counselor
  • Marlton, NJ
National Provider Identifier
1124793088
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE SOLASTA GROUP
Doing business as
Solasta Counseling Center
Practice address
2001 Lincoln Dr W Ste E
Marlton, NJ 08053-1531
Phone
(609) 746-0146
NPI assigned
Aug 12, 2021
Organization subpart
Yes
Parent organization
THE SOLASTA GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Jennifer MartinNPI 1538560826
Title
Ceo
Phone
(609) 864-4428

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2001 Lincoln Dr W Ste E
Marlton, NJ 08053-1531

Mailing address

2001 Lincoln Dr W Ste E
Marlton, NJ 08053-1531

Other names 1

  • Solasta Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Solasta Group2 organizations share this tax ID, including this one
Part of
The Solasta Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2001 Lincoln Dr W
Ste E
Marlton, NJ 08053
Phone (856) 596-9670

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1124793088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LINCOLN DR W STE E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LINCOLN DR W STE E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531531",
            "telephone_number": "609-746-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOLASTA GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SOLASTA GROUP",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-864-4428"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solasta Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 12, 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.