Individual provider Active NPI

Amelia Urban Romaine, MA, ATR-BC, LPC

  • Counselor
  • Camden, NJ
National Provider Identifier
1134318348
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC005871 Issued in PA
Practice address
311 Market St
Camden, NJ 08102-1523
Phone
(856) 963-5668
Fax
(214) 481-4340
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC375900 NJ
Counselor 101Y00000X PC005871 PA Primary

Addresses

Primary practice location

311 Market St
Camden, NJ 08102-1523

Mailing address

584 Benson St
Camden, NJ 08103-1324
Phone (856) 963-5668

Other names 1

  • Amelia Urban Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC005871PAMDCounselor
37PC375900NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1134318348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 BENSON ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031324",
            "telephone_number": "856-963-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MARKET ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021523",
            "telephone_number": "856-963-5668",
            "fax_number": "214-481-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAINE",
        "first_name": "AMELIA",
        "middle_name": "URBAN",
        "credential": "MA, ATR-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC375900",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC005871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "URBAN",
            "credential": "MA, ATR-BC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.