Active NPI
Cornerstone Behavioral Health
- Mental Health Counselor
- Marlton, NJ
National Provider Identifier
1174281026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CORNERSTONE BEHAVIORAL HEALTH
- Practice address
- 2001 Lincoln Dr W Ste a
Marlton, NJ 08053-1531 - Phone
- (856) 446-1293
- NPI assigned
- Dec 7, 2021
- Last updated
- Jan 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony R. Federici, MA, LAC
- Title
- Co-Owner
- Phone
- (609) 420-6849
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Clinical Psychologist | 103TC0700X | NU |
Addresses
Primary practice location
2001 Lincoln Dr W Ste a
Marlton, NJ 08053-1531
Mailing address
2001 Lincoln Dr W Ste a
Marlton, NJ 08053-1531
Phone (856) 446-1293
Other practice location 1
429 Woodbury Glassboro Rd Ste 201
Sewell, NJ 08080-4559
Phone (856) 446-1293
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841954161 | Other | NJ | NICOLE KOZAK |
| 1255094082 | Other | NJ | ANTHONY FEDERICI |
| 1013118827 | Other | NJ | ROBERT HAYNES |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://www.therapynotes.com/app/ | Health Information Exchange (HIE) | |
| CONNECT URL | info@cornerstonebehavioral.com | Direct |
National Provider Directory
National Provider DirectoryLocations
429 Woodbury Glassboro Rd
Ste 201
Sewell, NJ 08080
Phone (856) 446-1293
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Pitman, NJ
- NPI 1255094082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641340800000",
"number": "1174281026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 LINCOLN DR W STE A",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531531",
"telephone_number": "856-446-1293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 LINCOLN DR W STE A",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531531",
"telephone_number": "856-446-1293"
}
],
"practiceLocations": [
{
"address_1": "429 Woodbury Glassboro Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Sewell",
"state": "NJ",
"postal_code": "080804559",
"country_code": "US",
"telephone_number": "856-446-1293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CORNERSTONE BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-07",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A",
"authorized_official_last_name": "FEDERICI",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "609-420-6849",
"authorized_official_credential": "MA, LAC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NICOLE KOZAK",
"identifier": "1841954161",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHONY FEDERICI",
"identifier": "1255094082",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROBERT HAYNES",
"identifier": "1013118827",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://www.therapynotes.com/app/",
"affiliation": "N",
"endpointDescription": "secure Documentation site",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2001 Lincoln Dr W Ste A",
"city": "Marlton",
"state": "NJ",
"country_code": "US",
"postal_code": "080531531",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@cornerstonebehavioral.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "2001 Lincoln Dr W Ste A",
"city": "Marlton",
"state": "NJ",
"country_code": "US",
"postal_code": "080531531",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.