Individual provider Active NPI

Donna M Nelson-Henry, APN-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Laurel, NJ
National Provider Identifier
1366792467
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00398700 Issued in NJ
Practice address
3701 Church Rd Ste 5
Mount Laurel, NJ 08054-1133
Phone
(609) 604-6758
NPI assigned
Sep 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00398700 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00398700 NJ Primary

Addresses

Primary practice location

3701 Church Rd Ste 5
Mount Laurel, NJ 08054-1133

Mailing address

5 Greentree Center, South Tower, Suite 117
Suite 117
Marlton, NJ 08053
Phone (609) 604-6758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130916000630 NJ Practitioner - Nurse Practitioner 2567606494 Reassigns benefits to 5 organizations
I20260528000495 NY Practitioner - Nurse Practitioner 2567606494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

14 -20 Prospect St
East Orange, NJ 07017-2238
Phone (973) 672-2025

3525 White Plains Rd
Bronx, NY 10467-5705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Jan 30, 2017 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Mar 25, 2025 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Jan 30, 2017 Accepting new patients
Rutgers Health - Behavioral Health CurrentSince Dec 1, 2018 Accepting new patients
Rutgers Health - Behavioral Health Current Accepting new patients
Bedside Matters, LLC Family CurrentSince Feb 1, 2025 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Psychiatric/Mental Health Current Accepting new patients

Locations

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

5 Greentree Ctr
Ste 117
Marlton, NJ 08053
Phone (609) 474-0106

3701 Church Rd
Ste 2C
Mount Laurel, NJ 08054
Phone (609) 604-6758

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Piscataway, NJ 08854
Phone (732) 235-3289

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

Organizations & group practices 8

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": "1347753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1366792467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GREENTREE CENTER, SOUTH TOWER, SUITE 117",
            "address_2": "SUITE 117",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "609-604-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 CHURCH RD STE 5",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541133",
            "telephone_number": "609-604-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON-HENRY",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APN-BC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-16",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00398700",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00398700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.