Individual provider Active NPI

Gwendolyn Faye Timberman, MA LPC

  • Marriage & Family Therapist
  • Turnersville, NJ
National Provider Identifier
1154737179
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37PC00438300 Issued in NJ
Practice address
901 Route 168 Ste 103
Turnersville, NJ 08012-3200
Phone
(215) 290-8484
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37PC00438300 NJ Primary

Addresses

Primary practice location

901 Route 168 Ste 103
Turnersville, NJ 08012-3200

Mailing address

901 Route 168 Ste 103
Turnersville, NJ 08012-3200
Phone (215) 290-8484

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
I20240703003298 NJ Practitioner - Mental Health Counselor 4082158878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A Better Tomorrow Counseling ServicesGroup PAC ID 6709191059, 18 clinicians

Practice addresses (Care Compare)

901 Route 168 103
Turnersville, NJ 08012-3200
Phone (856) 266-4983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00438300NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Tomorrow Counseling Services CurrentSince Mar 17, 2024 Accepting new patients

Locations

901 Route 168
Ste 103
Turnersville, NJ 08012
Phone (856) 266-4983

Organizations & group practices 1

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1154737179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ROUTE 168 STE 103",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123200",
            "telephone_number": "215-290-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ROUTE 168 STE 103",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123200",
            "telephone_number": "215-290-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMBERMAN",
        "first_name": "GWENDOLYN",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37PC00438300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

Verify at the official NPI Registry.