Brenda C Thorn, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00470300 Issued in NJ

Practice address

630 Clements Bridge Rd
Barrington, NJ 08007-1814

Phone

(856) 547-1107

Fax

(856) 547-1130

NPI assigned

May 24, 2019

Last updated

Dec 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Brenda C Thorn Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Total Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Vineland, NJ
  • NPI 1649710609
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1437716305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 THELMA AVE",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083309579",
            "telephone_number": "856-506-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CLEMENTS BRIDGE RD",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071814",
            "telephone_number": "856-547-1107",
            "fax_number": "856-547-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORN",
        "first_name": "BRENDA",
        "middle_name": "C",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00470300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "THORN",
            "middle_name": "C",
            "prefix": "MS.",
            "credential": "NCC, LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Aubrey Spraggins
• Kayla Alexus Spraggins
• Joseph A Stegmuller, DO
• April Stone, MSN, APN, PMHNP-BC
• Sharbrei Taylor
• Veronica Visconti
• Amanda Volk
• Sarah Wagner, MPT
• Hanna M Whaley, DPT
• Robert Michael Williams, MD

• Mental Health Counselor in Barrington, NJ
• Providers in Barrington, 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 Dec 21, 2019; 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.