NPIMap

Organization Active NPI

Divine Professional Counseling

  • Mental Health Counselor
  • Westampton, NJ
National Provider Identifier
1215448683
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00310600 Issued in NJ
Legal business name
DIVINE PROFESSIONAL COUNSELING
Practice address
205 Dogwood Dr
Westampton, NJ 08060-5510
Phone
(516) 967-5969
NPI assigned
Oct 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Authorized official

Name
Mrs. Sheree T Dublin, MA, LACNPI 1326559774
Title
Mental Health Therapist
Phone
(516) 967-5969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 37AC00310600 NJ Primary

Addresses

Primary practice location

205 Dogwood Dr
Westampton, NJ 08060-5510

Mailing address

205 Dogwood Dr
Westampton, NJ 08060-5510
Phone (516) 967-5969

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1215448683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DOGWOOD DR",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605510",
            "telephone_number": "516-967-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 DOGWOOD DR",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605510",
            "telephone_number": "516-967-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PROFESSIONAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "DUBLIN",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "516-967-5969",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00310600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westampton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.