Organization Active NPI

Covenant Counseling

  • Professional Counselor
  • Sewell, NJ
National Provider Identifier
1134257595
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COVENANT COUNSELING
Practice address
465 Woodbury Glassboro Rd
Sewell, NJ 08080-4559
Phone
(856) 589-0800
Fax
(856) 589-0843
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Susan Zebert Mock, LPC
Title
Owner
Phone
(856) 589-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

465 Woodbury Glassboro Rd
Sewell, NJ 08080-4559

Mailing address

465 Woodbury Glassboro Rd
Sewell, NJ 08080-4559
Phone (856) 589-0800

Other identifiers 2

IdentifierTypeStateIssuer
439600130OtherNJSS NUMBER- DYFS
0025453MedicaidNJ

National Provider Directory

National Provider Directory

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1134257595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WOODBURY GLASSBORO RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804559",
            "telephone_number": "856-589-0800",
            "fax_number": "856-589-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WOODBURY GLASSBORO RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804559",
            "telephone_number": "856-589-0800",
            "fax_number": "856-589-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ZEBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-589-0800",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SS NUMBER- DYFS",
            "identifier": "439600130",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025453",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.