NPIMap

Organization Active NPI

Fictre Counseling Service

  • Counselor
  • Mt. Holly, NJ
National Provider Identifier
1477687812
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0059986 Issued in NJ
Legal business name
FICTRE COUNSELING SERVICE
Practice address
111 High Street
Mt. Holly, NJ 08060
Phone
(856) 573-7742
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eugene - Witherspoon, MASTER OF HUMAN SERV
Title
Intensive Within Community Provider
Phone
(856) 573-7742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 0059986 NJ Primary

Addresses

Primary practice location

111 High Street
Mt. Holly, NJ 08060

Mailing address

111 High St
Mt. Holly, NJ 08060
Phone (856) 573-7742

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477687812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HIGH ST",
            "city": "MT. HOLLY",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "856-573-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGH STREET",
            "city": "MT. HOLLY",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "856-573-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FICTRE COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITHERSPOON",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "-",
        "authorized_official_title_or_position": "INTENSIVE WITHIN COMMUNITY PROVIDER",
        "authorized_official_telephone_number": "856-573-7742",
        "authorized_official_credential": "MASTER OF HUMAN SERV"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "0059986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt. Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.