Active NPI
Donell Buggs, MA, LAC
- Professional Counselor
- Cinnaminson, NJ
National Provider Identifier
1316366529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00618600
- Practice address
- 101 US-130, Grant Building Suite # 408
Grant Building, Suite #408
Cinnaminson, NJ 08077 - Phone
- (856) 389-5458
- NPI assigned
- Apr 15, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00618600 | NJ | Primary |
Addresses
Primary practice location
101 US-130, Grant Building Suite # 408
Grant Building, Suite #408
Cinnaminson, NJ 08077
Mailing address
101 US-130, Grant Buiding Suite #408
Cinnaminson, NJ 08077
Phone (856) 310-7332
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00618600 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beautiful Gate Counseling Services LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Marlton, NJ
- NPI 1699506915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1316366529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 US-130, GRANT BUIDING SUITE #408",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "08077",
"telephone_number": "856-310-7332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 US-130, GRANT BUILDING SUITE # 408",
"address_2": "GRANT BUILDING, SUITE #408",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "08077",
"telephone_number": "856-389-5458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUGGS",
"first_name": "DONELL",
"name_prefix": "Mr.",
"credential": "MA, LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00618600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cinnaminson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.