Nicole M Storer, CPRS

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1000140 Issued in NJ

Practice address

610 Pemberton Browns Mills Rd
Pemberton, NJ 08068-1537

Phone

(856) 271-4486

NPI assigned

Apr 17, 2024

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1457105132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BANNARD ST",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080771902",
            "telephone_number": "609-310-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PEMBERTON BROWNS MILLS RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681537",
            "telephone_number": "856-271-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORER",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "CPRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "1000140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solstice Counseling Services Corp.
• Solstice Counseling Services Corp.
• Southern Jersey Family Medical Centers, Inc.
• Robert Sposato, LPN
• Nicholas Stafford, CPRS
• Christie Swart
• Nichole Tatcher
• Nadia C Tis
• Lindsay Tucker
• Union Assocation of the Children's Home of Burlington County, Inc. (Legacy Treatment Services)

• Substance Abuse Rehabilitation Facility in Pemberton, NJ
• Providers in Pemberton, NJ by specialty
• Substance Abuse Rehabilitation Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.