Individual provider Active NPI

Andrea Juliano

  • Art Therapist
  • Cherry Hill, NJ
National Provider Identifier
1356996557
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
002505 Issued in NY
Practice address
2230 Route 70 West
Ste 2 PMD 1260
Cherry Hill, NJ 08002
Phone
(929) 949-5290
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC013586 PA
Art Therapist 221700000X 16LP00028600 NJ
Art Therapist 221700000X 002505 NY Primary

Addresses

Primary practice location

2230 Route 70 West
Ste 2 PMD 1260
Cherry Hill, NJ 08002

Mailing address

2230 Route 70 West
Ste 2 PMD 1260
Cherry Hill, NJ 08002

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

LicenseStateTypeSpecialty
PC013586PAMDProfessional Counselor
16LP00028600NJMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creatively You Therapy LLC Social Worker Current Accepting new patients
Amanda E. White Therapy for Women PastSince May 16, 2021 Accepting new patients

Locations

2230 Route 70 W
Ste 2
Cherry Hill, NJ 08002
Phone (201) 932-5492

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1356996557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 ROUTE 70 WEST",
            "address_2": "STE 2 PMD 1260",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 ROUTE 70 WEST",
            "address_2": "STE 2 PMD 1260",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08002",
            "telephone_number": "929-949-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIANO",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013586",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NJ",
            "license": "16LP00028600",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "002505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.