Organization Active NPI

Timothy Faith Services, LLC

  • Professional Counselor
  • Glassboro, NJ
National Provider Identifier
1184862443
Registry record updated Jan 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00250000 Issued in NJ
Legal business name
TIMOTHY FAITH SERVICES, LLC
Practice address
101 Stoneham Dr
Glassboro, NJ 08028-3001
Phone
(609) 970-4680
NPI assigned
Jan 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2009

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

Authorized official

Name
Ms. Pamela Mae Nielsen, LPC, NCC, MC
Title
Director
Phone
(609) 970-4680

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 37PC00250000 NJ Primary
Community/Behavioral Health Agency 251S00000X 37PC00250000 NJ
Exclusive Provider Organization 302F00000X 37PC00250000 NJ
Preferred Provider Organization 305R00000X 37PC00250000 NJ

Addresses

Primary practice location

101 Stoneham Dr
Glassboro, NJ 08028-3001

Mailing address

101 Stoneham Dr
Glassboro, NJ 08028-3001
Phone (609) 970-4680

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232841600000",
    "number": "1184862443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STONEHAM DR",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080283001",
            "telephone_number": "609-970-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STONEHAM DR",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080283001",
            "telephone_number": "609-970-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY FAITH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-25",
        "last_updated": "2009-01-25",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-970-4680",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, NCC, MC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00250000",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00250000",
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "37PC00250000",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "37PC00250000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2009; 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.