Active NPI
Teresa Marie Fetherman, LCADC
- Addiction (Substance Use Disorder) Counselor
- Hackettstown, NJ
National Provider Identifier
1316284722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37LC00191500
- Practice address
- 1001 Route 517 Ste 1
Hackettstown, NJ 07840-2731 - Phone
- (908) 343-4911
- NPI assigned
- Jan 7, 2013
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00191500 | NJ | Primary |
Addresses
Primary practice location
1001 Route 517 Ste 1
Hackettstown, NJ 07840-2731
Mailing address
1001 Route 517 Ste 1
Hackettstown, NJ 07840-2731
Phone (908) 343-4911
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00191500 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1316284722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 ROUTE 517 STE 1",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078402731",
"telephone_number": "908-343-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 ROUTE 517 STE 1",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078402731",
"telephone_number": "908-343-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FETHERMAN",
"first_name": "TERESA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00191500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
- Feet N Beyond of New Jersey Professional Association
- Sara Fenton
- Jacqueline Ann Fernandez, MA, LPC, LCADC
- Marwin Samson Fernandez, RN
- Linda Festante, RD
- Gregory R Findura, D.C.
- Barbara P Fiume, MSW, LCSW, BCD
- Flannery Physical Therapy Limited Partnership (Physical Therapy Plus)
- Amy Ellen Flannery, PT MS ATC
- Florence Precious Home Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.