Active NPI
Tynira Witcher
- Mental Health Counselor
- Lindenwold, NJ
National Provider Identifier
1295450344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 101 E Gibbsboro Rd Apt 2702
Lindenwold, NJ 08021-1934 - Phone
- (856) 739-0346
- NPI assigned
- Oct 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
101 E Gibbsboro Rd Apt 2702
Lindenwold, NJ 08021-1934
Mailing address
101 E Gibbsboro Rd Apt 2702
Lindenwold, NJ 08021-1934
Phone (856) 739-0346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7770000198274203 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1295450344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E GIBBSBORO RD APT 2702",
"city": "LINDENWOLD",
"state": "NJ",
"postal_code": "080211934",
"telephone_number": "856-739-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E GIBBSBORO RD APT 2702",
"city": "LINDENWOLD",
"state": "NJ",
"postal_code": "080211934",
"telephone_number": "856-739-0346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITCHER",
"first_name": "TYNIRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7770000198274203",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lindenwold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.