Karen Song Johnson-Cromwell, PCC-S, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00561900 Issued in NJ

Practice address

38 Cooper St
Woodbury, NJ 08096-4667

Phone

(513) 348-8485

Fax

(866) 629-1075

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Karen Song Cromwell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1437369121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 LANSING DR",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "080511236",
            "telephone_number": "513-348-8485",
            "fax_number": "866-629-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 COOPER ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964667",
            "telephone_number": "513-348-8485",
            "fax_number": "866-629-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-CROMWELL",
        "first_name": "KAREN",
        "middle_name": "SONG",
        "credential": "PCC-S, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00561900",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0007154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "CROMWELL",
            "middle_name": "SONG",
            "credential": "PCC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Jackman
• Mikayla Shyann Jackson
• Mathew Jaffe
• Brianna Jankauskas
• Abigail Jimenez, LSW
• Jared Land Johnson, DMD
• Joanna Johnson, LPC
• Michael Johnson
• Linda Nell Jones-Hicks, D.O.
• Alexis D Jones, MA, BCBA

• Mental Health Counselor in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.