Melissa Ackerly
Individual provider Active NPI Mental Health Counselor · Sicklerville, NJ
NPI 1265086185 · NPPES record last updated Jul 29, 2019
Key facts
- NPI
- 1265086185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 404 Independence Blvd
Sicklerville, NJ 08081-1094 - Phone
- (856) 861-5448
- NPI assigned
- Jul 29, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premiere Behavioral Supports | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
404 Independence Blvd
Sicklerville, NJ 08081-1094
Mailing address
404 Independence Blvd
Sicklerville, NJ 08081-1094
Phone (856) 861-5448
Other providers in Sicklerville, NJ
- Abc Supports LLC
- Kareem Ahmed Abdelaal
- Above and Beyond Counseling
- Dominic Anthony Acchitelli
- Abigail D Acevedo
- Acme Markets Inc
- Acme Markets Inc
- Regis Francisco Acosta
- Adesola B Adefiranye
- Esther Adeleke
All providers in Sicklerville, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.