Greater New Jersey Creative Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SCO5540000 Issued in NJ

Legal business name

GREATER NEW JERSEY CREATIVE COUNSELING

Practice address

525 Route 73 N
Suite 104
Marlton, NJ 08053-3422

Phone

(717) 419-2756

Fax

(856) 817-6017

NPI assigned

Jan 4, 2016

Last updated

Jan 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dorothy Dolan, LCSWNPI 1265792311

Title

Director

Phone

(717) 419-2756

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dorothy Dolan, LCSW

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1265792311
  Authorized official Same address or phone

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1255797551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N",
            "address_2": "SUITE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "717-419-2756",
            "fax_number": "856-817-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N",
            "address_2": "SUITE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "717-419-2756",
            "fax_number": "856-817-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NEW JERSEY CREATIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-419-2756",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SCO5540000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart D Gould, M.D.
• Kathryn A Grady, D.D.S., M.S.
• Charles Graham, MSW
• Malvina Granovskaya, MS CCC-SLP
• Deanna Lynn Gray-Miceli, PHD., GNP-BC
• Greater New Jersey Creative Counseling Inc
• Anthony Greco, CRNA
• Justin Jacob Green, MD
• Adele Greenhaus, LCSW
• Greentree Dental DRS LLC (All 5 Dental Specialties)

• Community/Behavioral Health Agency in Marlton, NJ
• Providers in Marlton, 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 4, 2016; 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.