Individual provider Active NPI

Jody Stoothoff, LPC LCADC CCS ACS

  • Professional Counselor
  • Vineland, NJ
National Provider Identifier
1386354702
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00630800 Issued in NJ
Practice address
1835 E. Landis Ave
Vineland, NJ 08361
Phone
(856) 305-5699
Fax
(609) 640-1701
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00630800 NJ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00285500 NJ

Addresses

Primary practice location

1835 E. Landis Ave
Vineland, NJ 08361

Mailing address

54 Glenn Ter
Vineland, NJ 08360-4926
Phone (856) 305-5699

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
I20260501001101 NJ Practitioner - Mental Health Counselor 6305314907 Practice locations: Vineland, NJ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1835 E Landis Ave
Suite H
Vineland, NJ 08361
Phone (856) 305-5699

2603 Good Intent Rd
Deptford, NJ 08096-4451

54 Glenn Ter
Vineland, NJ 08360-4926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00285500NJMDAddiction (Substance Use Disorder) Counselor
37PC00630800NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1386354702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 GLENN TER",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083604926",
            "telephone_number": "856-305-5699",
            "fax_number": "609-640-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E. LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08361",
            "telephone_number": "856-305-5699",
            "fax_number": "609-640-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOOTHOFF",
        "first_name": "JODY",
        "name_prefix": "Ms.",
        "credential": "LPC LCADC CCS ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00630800",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00285500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.