Active NPI
Nichole Tatcher
- Addiction (Substance Use Disorder) Counselor
- Pemberton, NJ
National Provider Identifier
1215410824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37CA00149500
- Practice address
- 300 Birmingham Rd
Pemberton, NJ 08068-1326 - Phone
- (609) 288-8844
- Fax
- (609) 784-8191
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37CA00149500 | NJ | Primary |
Addresses
Primary practice location
300 Birmingham Rd
Pemberton, NJ 08068-1326
Mailing address
PO Box 161
Rancocas, NJ 08073-0161
Phone (609) 271-9273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37CA00149500 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1215410824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 161",
"city": "RANCOCAS",
"state": "NJ",
"postal_code": "080730161",
"telephone_number": "609-271-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BIRMINGHAM RD",
"city": "PEMBERTON",
"state": "NJ",
"postal_code": "080681326",
"telephone_number": "609-288-8844",
"fax_number": "609-784-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATCHER",
"first_name": "NICHOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37CA00149500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pemberton, NJ
- Southern Jersey Family Medical Centers, Inc.
- Robert Sposato, LPN
- Nicholas Stafford, CPRS
- Nicole M Storer, CPRS
- Christie Swart
- Nadia C Tis
- Lindsay Tucker
- Union Assocation of the Children's Home of Burlington County, Inc. (Legacy Treatment Services)
- Union Association of the Children's Home of Burlington County, Inc. (Legacy Treatment Services)
- Jennifer Vanness, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.