Graceful Paths Counseling Center, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

GRACEFUL PATHS COUNSELING CENTER, LLC

Practice address

218 Countiss Ave
Lindenwold, NJ 08021-2509

Phone

(856) 322-2745

NPI assigned

Aug 14, 2020

Organization subpart

No

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

Authorized official

Name

Nefessa N. Wiggins, LCSWNPI 1306070578

Title

Founder and Owner

Phone

(856) 229-4302

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nefessa Wiggins, LCSW

  • Clinical Social Worker
  • Lindenwold, NJ
  • NPI 1306070578
  NPD Authorized official

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1346851060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 COUNTISS AVE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080212509",
            "telephone_number": "856-229-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 COUNTISS AVE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080212509",
            "telephone_number": "856-322-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL PATHS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "NEFESSA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "FOUNDER AND OWNER",
        "authorized_official_telephone_number": "856-229-4302",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medicine of Lindenwold LLC
• James V Galeno, R.PH.
• Bernard Genet, DDS
• Steven M. Gerzoff, DDS
• Lennard R Gildiner, M.D.
• Ronell Green, OTA
• Yolanda Hamilton
• Melissa Harmon, RRT
• Health 1St Limited Liability Company (Spectra Care)
• Gary X. Heck, DO

• Adult Mental Health Clinic/Center in Lindenwold, NJ
• Providers in Lindenwold, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.