Organization Active NPI

Abundant Health for Relationships

  • Clinical Social Worker
  • Moorestown, NJ
National Provider Identifier
1295035475
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04606700 Issued in NJ
Legal business name
ABUNDANT HEALTH FOR RELATIONSHIPS
Practice address
319 Chestnut St
Moorestown, NJ 08057-3613
Phone
(856) 234-0843
Fax
(856) 234-0843
NPI assigned
Oct 22, 2010
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Ms. Helen Holland Myers, LCSWNPI 1487851804
Title
Owner
Phone
(856) 234-0843

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04606700 NJ Primary

Addresses

Primary practice location

319 Chestnut St
Moorestown, NJ 08057-3613

Mailing address

319 Chestnut St
Moorestown, NJ 08057-3613
Phone (856) 234-0843

Other identifiers 2

IdentifierTypeStateIssuer
598155000OtherNJMAGELLAN BEHAVIORAL HEALTH
166802OtherNJMEDICARE PTAN #

Other names 1

  • Abundant Health Other name

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, 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": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1295035475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 CHESTNUT ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573613",
            "telephone_number": "856-234-0843",
            "fax_number": "856-234-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 CHESTNUT ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573613",
            "telephone_number": "856-234-0843",
            "fax_number": "856-234-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEALTH FOR RELATIONSHIPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "HOLLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-234-0843",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04606700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALTH",
            "identifier": "598155000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN #",
            "identifier": "166802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.