Active NPI
Ronnie Erricson
- Mental Health Counselor
- Bridgeton, NJ
National Provider Identifier
1326469503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 105 Manheim Ave
Suite 10 & 12
Bridgeton, NJ 08302-2139 - Phone
- (856) 537-2310
- Fax
- (856) 451-2490
- NPI assigned
- Dec 14, 2013
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
105 Manheim Ave
Suite 10 & 12
Bridgeton, NJ 08302-2139
Mailing address
105 Manheim Ave
Suite 10 & 12
Bridgeton, NJ 08302-2139
Phone (856) 537-2310
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": "1386979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386979200000",
"number": "1326469503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MANHEIM AVE",
"address_2": "SUITE 10 & 12",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083022139",
"telephone_number": "856-537-2310",
"fax_number": "856-451-2490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MANHEIM AVE",
"address_2": "SUITE 10 & 12",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083022139",
"telephone_number": "856-537-2310",
"fax_number": "856-451-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERRICSON",
"first_name": "RONNIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-14",
"last_updated": "2013-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.