Performance Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

37PC00021600 Issued in NJ

Legal business name

PERFORMANCE COUNSELING LLC

Practice address

860 Route 168
Suite 104
Turnersville, NJ 08012-3215

Phone

(856) 208-4141

Fax

(856) 401-9551

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Donald P Keller, LPC, LCADC

Title

Therapist

Phone

(856) 208-4141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1235676461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 ROUTE 168",
            "address_2": "SUITE 104",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123215",
            "telephone_number": "856-208-4141",
            "fax_number": "856-401-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 ROUTE 168",
            "address_2": "SUITE 104",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123215",
            "telephone_number": "856-208-4141",
            "fax_number": "856-401-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "856-208-4141",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00021600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vima M Patel, M.D.
• Jill Eva Patrick, APN
• Joseph Francis Pavlik III, DO
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• George John Petruncio, M.D.
• Karen Petsch
• Taylor Kathleen Peyton, RD

• Community/Behavioral Health Agency in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

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