Active NPI
Lifesprings Counseling Services LLC
- Clinical Social Worker
- Marlton, NJ
National Provider Identifier
1477885366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05265600
- Legal business name
- LIFESPRINGS COUNSELING SERVICES LLC
- Practice address
- 401 Route 73
Building 10 Suite 110
Marlton, NJ 08053 - Phone
- (609) 280-6998
- NPI assigned
- Feb 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory Pryor, LCSW, LCADC, CEAP
- Title
- President
- Phone
- (609) 280-6998
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05265600 | NJ | Primary |
Addresses
Primary practice location
401 Route 73
Building 10 Suite 110
Marlton, NJ 08053
Mailing address
302A Barton Run Blvd
Marlton, NJ 08053-2724
Phone (609) 280-6998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240710002564 | NJ | Part B Supplier - Clinic/Group Practice | 8527503952 |
Receives reassigned benefits from 1 practitioner Practice locations: Marlton, NJ |
National Provider Directory
National Provider DirectoryLocations
26 S Maple Ave
Ste 203
Marlton, NJ 08053
Phone (516) 754-3320
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265155200000",
"number": "1477885366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302A BARTON RUN BLVD",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532724",
"telephone_number": "609-280-6998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 ROUTE 73",
"address_2": "BUILDING 10 SUITE 110",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "609-280-6998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESPRINGS COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A",
"authorized_official_last_name": "PRYOR",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "609-280-6998",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW, LCADC, CEAP"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05265600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.