Organization Active NPI

Integrative Training & Consulting, LLC

  • Clinical Psychologist
  • Mount Laurel, NJ
National Provider Identifier
1285783357
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100489500 Issued in NJ
Legal business name
INTEGRATIVE TRAINING & CONSULTING, LLC
Practice address
108 Fairway Ter
Mount Laurel, NJ 08054-2321
Phone
(609) 304-4624
NPI assigned
Jan 9, 2007
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Dr. Jared Michael Scherz, PH.D.NPI 1003907791
Title
Director
Phone
(609) 304-4624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC00242600 NJ
Professional Counselor 101YP2500X 37PC00320500 NJ
Psychologist 103T00000X 35SI00379400 NJ
Clinical Psychologist 103TC0700X 35S100489500 NJ Primary
Clinical Social Worker 1041C0700X 44SC04830400 NJ

Addresses

Primary practice location

108 Fairway Ter
Mount Laurel, NJ 08054-2321

Mailing address

108 Fairway Ter
Mount Laurel, NJ 08054-2321
Phone (609) 304-4624

Other identifiers 2

IdentifierTypeStateIssuer
2101101000OtherPAINDEPENDENCE BLUE CROSS
2101101000OtherNJINDEPENDENCE BC

Other names 1

  • ITC Other name

National Provider Directory

National Provider Directory

Locations

108 Fairway Ter
Mount Laurel, NJ 08054
Phone (856) 787-7150

Practitioners & affiliated clinicians

Practitioners 7

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1285783357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FAIRWAY TER",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542321",
            "telephone_number": "609-304-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FAIRWAY TER",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542321",
            "telephone_number": "609-304-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE TRAINING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-06-17",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "SCHERZ",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-304-4624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00242600",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00320500",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00379400",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100489500",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04830400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2101101000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BC",
            "identifier": "2101101000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ITC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.