Regrowth Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REGROWTH THERAPY LLC

Practice address

327 Cherry Hill Blvd
Cherry Hill, NJ 08002-1908

Phone

(856) 497-8404

NPI assigned

Apr 14, 2019

Organization subpart

No

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

Authorized official

Name

Mirel Adler, MSW LCSWNPI 1356831044

Title

Ceo

Phone

(856) 497-8404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Mirel Adler, LCSW

  • Clinical Social Worker
  • Cherry Hill, NJ
  • NPI 1356831044
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1497218622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 CHERRY HILL BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021908",
            "telephone_number": "856-497-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 CHERRY HILL BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021908",
            "telephone_number": "856-497-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1812 Haddonfield Berlin Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080033736",
            "country_code": "US",
            "telephone_number": "856-497-8404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGROWTH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "MIREL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-497-8404",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.