Individual provider Active NPI

Rebecca Tomlinson

  • Professional Counselor
  • Laurel Springs, NJ
National Provider Identifier
1336634567
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00976300 Issued in NJ
Practice address
1405 Chews Landing Rd Ste 44
Laurel Springs, NJ 08021-2769
Phone
(856) 287-0559
NPI assigned
Jun 29, 2018
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00547900 NJ
Professional Counselor 101YP2500X 37PC00976300 NJ Primary

Addresses

Primary practice location

1405 Chews Landing Rd Ste 44
Laurel Springs, NJ 08021-2769

Mailing address

1405 Chews Landing Rd Ste 44
Laurel Springs, NJ 08021-2769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802003514 NJ Practitioner - Mental Health Counselor 0840737276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

159 S Broad St
Kha Woodbury
Woodbury, NJ 08096-2410
Phone (844) 542-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00547900NJMDMental Health Counselor
37PC00976300NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Intuit Counseling and Wellness Services, LLC Mental Health CurrentSince Jun 2, 2024 Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Jul 29, 2024 Accepting new patients
Kennedy Medical Group Practice, P.C. Current Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Jul 29, 2024 Accepting new patients

Locations

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

1405 Chews Landing Rd
Ste 44
Laurel Springs, NJ 08021
Phone (856) 287-0559

151 Fries Mill Rd
Ste 301
Turnersville, NJ 08012
Phone (856) 374-1881

159 S Broad St
Woodbury, NJ 08096
Phone (844) 542-8273

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1336634567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDING RD STE 44",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDING RD STE 44",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212769",
            "telephone_number": "856-287-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLINSON",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00547900",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00976300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel Springs, NJ

Sources for this page

Verify at the official NPI Registry.