Organization Active NPI

The 4Walls Foundation

  • Mental Health Counselor
  • Voorhees, NJ
National Provider Identifier
1124984828
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE 4WALLS FOUNDATION
Practice address
113 White Horse Rd W Ste 4
Voorhees, NJ 08043-3671
Phone
(856) 650-6556
NPI assigned
Dec 27, 2025
Organization subpart
Yes
Parent organization
THE 4WALLS FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2025

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

Authorized official

Name
Jason Ali Brice Sr., LPC, LCADCNPI 1588953376
Title
Executive Director
Phone
(856) 650-6556

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X

Addresses

Primary practice location

113 White Horse Rd W Ste 4
Voorhees, NJ 08043-3671

Mailing address

PO Box 201
Somerdale, NJ 08083-0201
Phone (856) 650-6556

National Provider Directory

National Provider Directory
Tax ID family
The 4Walls Foundation2 organizations share this tax ID, including this one
Part of
The 4Walls Foundation

Other organizations with this tax ID 1

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

Locations

113 White Horse Rd W
Ste 4
Voorhees, NJ 08043
Phone (856) 272-7229

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 2

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": "1766793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766793600000",
    "number": "1124984828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080830201",
            "telephone_number": "856-650-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WHITE HORSE RD W STE 4",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433671",
            "telephone_number": "856-650-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE 4WALLS FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE 4WALLS FOUNDATION",
        "enumeration_date": "2025-12-27",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A",
        "authorized_official_last_name": "BRICE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-650-6556",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2025; 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.