Organization Active NPI

Island Therapy LLC

  • Community/Behavioral Health Agency
  • Somers Point, NJ
National Provider Identifier
1255922639
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ISLAND THERAPY LLC
Practice address
803 New Rd FL 2
Somers Point, NJ 08244-1846
Phone
(609) 415-4901
NPI assigned
Jan 28, 2021
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Mrs. Anjennett Corry, LCSWNPI 1629622154
Title
Owner
Phone
(856) 725-0076

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

803 New Rd FL 2
Somers Point, NJ 08244-1846

Mailing address

306 Island LN
Egg Harbor Township, NJ 08234-6986
Phone (856) 725-0076

Other practice location 1

311 S New York Rd
Galloway, NJ 08205-6025
Phone (609) 415-4901

Other practice location 2

232 Kings Hwy E Ste 200
Haddonfield, NJ 08033-1907
Phone (609) 415-4901

Other practice location 3

215 Pleasant St E
Hammonton, NJ 08037-1723
Phone (609) 415-4901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210518002923 NJ Part B Supplier - Clinic/Group Practice 6800295122 Receives reassigned benefits from 2 practitioners
Practice locations: Somers Point, NJ

National Provider Directory

National Provider Directory
Tax ID family
Island Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

311 S New York Rd
Galloway, NJ 08205
Phone (609) 300-3963

232 Kings Hwy E
Ste 200
Haddonfield, NJ 08033
Phone (609) 415-4901

215 Pleasant St E
Hammonton, NJ 08037
Phone (609) 415-4901

803 New Rd
Somers Point, NJ 08244
Phone (609) 415-4901

803 New Rd
Fl 2
Somers Point, NJ 08244
Phone (609) 415-4901

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1255922639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ISLAND LN",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082346986",
            "telephone_number": "856-725-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 NEW RD FL 2",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441846",
            "telephone_number": "609-415-4901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 S New York Rd",
            "address_purpose": "LOCATION",
            "city": "Galloway",
            "state": "NJ",
            "postal_code": "082056025",
            "country_code": "US",
            "telephone_number": "609-415-4901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 Kings Hwy E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Haddonfield",
            "state": "NJ",
            "postal_code": "080331907",
            "country_code": "US",
            "telephone_number": "609-415-4901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Pleasant St E",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080371723",
            "country_code": "US",
            "telephone_number": "609-415-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISLAND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "CORRY",
        "authorized_official_first_name": "ANJENNETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-725-0076",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.