Active NPI
Timothy Faith Services, LLC
- Professional Counselor
- Glassboro, NJ
National Provider Identifier
1184862443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00250000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryNPI 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
- The Devereux Foundation (Devereux Advanced Behavioral Health)
- The Family Health and Wellness Opportunity Center
- Kari E Thomes, LCSW
- Heather L. Thompson, LCSW
- Lateefah Thompson, LSW
- William Toreki, M.D.
- Alissa Tossie, LPN
- Jessica Tranchina
- Christina Lynn Travaglini, LPC
- Tri-County Health Connections PC (Inspira Health Connections PC)
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.