Individual provider Active NPI

Danita Sharice Thompson, LMFT

  • Marriage & Family Therapist
  • Burlington, NJ
National Provider Identifier
1154621209
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FI00173700 Issued in NJ
Practice address
60 Cathy LN Ste 103
Burlington, NJ 08016-9727
Phone
(609) 234-8050
Fax
(609) 447-4786
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FI00173700 NJ Primary
Marriage & Family Therapist 106H00000X 3TP10-013 NJ

Addresses

Primary practice location

60 Cathy LN Ste 103
Burlington, NJ 08016-9727

Mailing address

PO Box 130
Columbus, NJ 08022-0130
Phone (609) 234-8050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813001093 NJ Practitioner - Marriage and Family Therapist 9234677121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

60 Cathy Lane
Suite 103
Florence, NJ 08518

60 Cathy LN
Suite 103
Burlington, NJ 08016-9727

60 Cathy LN
Suite 103
Florence, NJ 08518
Phone (609) 499-0165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37FI00173700NJMDMarriage & Family Therapist
3TP10-013NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Hearts Family Counseling CurrentSince Jan 29, 2023 Accepting new patients
Mending Hearts Family Counseling CurrentSince May 24, 2024 Accepting new patients

Locations

60 Cathy Ln
Ste 103
Burlington, NJ 08016
Phone (609) 499-0165

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1154621209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080220130",
            "telephone_number": "609-234-8050",
            "fax_number": "609-447-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CATHY LN STE 103",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080169727",
            "telephone_number": "609-234-8050",
            "fax_number": "609-447-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DANITA",
        "middle_name": "SHARICE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00173700",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "3TP10-013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

Verify at the official NPI Registry.