Active NPI
Sound Mind Counseling Center, LLC
- Mental Health Counselor
- Marlton, NJ
National Provider Identifier
1386322915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SOUND MIND COUNSELING CENTER, LLC
- Practice address
- 1202 Jonathan LN
Marlton, NJ 08053-4520 - Phone
- (856) 452-1021
- NPI assigned
- Jul 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Selena Fisher, LPC
- Title
- Ceo & Mental Health Therapist
- Phone
- (856) 452-1021
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
1202 Jonathan LN
Marlton, NJ 08053-4520
Mailing address
532 Old Marlton Pike W #524
Marlton, NJ 08053
Phone (856) 452-1021
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688515200000",
"number": "1386322915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 OLD MARLTON PIKE W #524",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-452-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 JONATHAN LN",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534520",
"telephone_number": "856-452-1021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUND MIND COUNSELING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-05",
"last_updated": "2023-07-05",
"certification_date": "2023-06-26",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "SELENA",
"authorized_official_title_or_position": "CEO & MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "856-452-1021",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.