Organization Active NPI

Diesel Theraputics Counseling and Consulting LLC

  • Addiction (Substance Use Disorder) Counselor
  • Burlington, NJ
National Provider Identifier
1255046520
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
DIESEL THERAPUTICS COUNSELING AND CONSULTING LLC
Practice address
29 Marter Ave
Burlington, NJ 08016-1119
Phone
(609) 218-8768
NPI assigned
Jan 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Rajonta Hodges
Title
Owner
Phone
(609) 218-8768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

29 Marter Ave
Burlington, NJ 08016-1119

Mailing address

29 Marter Ave
Burlington, NJ 08016-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018001267 NJ Part B Supplier - Clinic/Group Practice 8325570062 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, NJ

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": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1255046520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MARTER AVE",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MARTER AVE",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161119",
            "telephone_number": "609-218-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIESEL THERAPUTICS COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "RAJONTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-218-8768"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.