Innovative Counseling Solutions of NJ, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00376400 Issued in NJ

Legal business name

INNOVATIVE COUNSELING SOLUTIONS OF NJ, LLC

Practice address

129 Johnson Rd
Turnersville, NJ 08012-1777

Phone

(609) 970-0640

Fax

(856) 228-9584

NPI assigned

Feb 3, 2010

Organization subpart

No

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

Authorized official

Name

Daniel Kennedy, MA, LPCNPI 1073747507

Title

Co-Owner

Phone

(609) 970-0640

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Kennedy, PSYD

  • Clinical Psychologist
  • Glassboro, NJ
  • NPI 1073747507

  Professional

  NPD (past) Authorized official

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1497087332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MEADOWS DRIVE",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "08028",
            "telephone_number": "609-970-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 JOHNSON RD",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121777",
            "telephone_number": "609-970-0640",
            "fax_number": "856-228-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE COUNSELING SOLUTIONS OF NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "609-970-0640",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00376400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chia Huang, CRNA
• Wendy Hughes, MSCC, LPC, CCTP
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• Joseph Michael Iannelli, D.C.
• Infinity Therapy
• Insync Psychiatric and Wellness Services
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• Dahlia J Irby, MD
• Virginia Irwin-Scott, D.O.
• Jennifer Jackson, MSW, LCADC

• Professional Counselor in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.