Organization Active NPI

Lifesprings Counseling Services LLC

  • Clinical Social Worker
  • Marlton, NJ
National Provider Identifier
1477885366
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05265600 Issued in NJ
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

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Mr. Gregory Pryor, LCSW, LCADC, CEAPNPI 1124293428
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20240710002564 NJ Part B Supplier - Clinic/Group Practice 8527503952 Receives reassigned benefits from 1 practitioner
Practice locations: Marlton, NJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.