Organization Active NPI

Jennifer L.K. Boiler LLC

  • Community/Behavioral Health Agency
  • Cherry Hill, NJ
National Provider Identifier
1518323385
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05607900 Issued in NJ
Legal business name
JENNIFER L.K. BOILER LLC
Doing business as
Rooted Psychotherapy and Counseling
Practice address
1878 Marlton Pike E Ste 2
Cherry Hill, NJ 08003-2090
Phone
(856) 375-2440
Fax
(856) 424-2949
NPI assigned
Jan 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Mrs. Jennifer Leone Konen BoilerNPI 1225433345
Title
Owner
Phone
(856) 375-2440

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
Community/Behavioral Health Agency 251S00000X 44SC05607900 NJ Primary

Addresses

Primary practice location

1878 Marlton Pike E Ste 2
Cherry Hill, NJ 08003-2090

Mailing address

782 Rosevine LN
Erie, CO 80516-7064
Phone (856) 375-2440

Other names 1

  • Rooted Psychotherapy and Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160216000785 NJ Part B Supplier - Clinic/Group Practice 3072818863 Receives reassigned benefits from 4 practitioners
Practice locations: Cherry Hill, NJ

National Provider Directory

National Provider Directory

Locations

1878 Route 70 E
Ste 2
Cherry Hill, NJ 08003
Phone (856) 375-2440

132 Kings Hwy E
Ste 203
Haddonfield, NJ 08033
Phone (856) 375-2440

Practitioners & affiliated clinicians

Practitioners 5

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": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1518323385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 ROSEVINE LN",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167064",
            "telephone_number": "856-375-2440",
            "fax_number": "856-424-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 MARLTON PIKE E STE 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032090",
            "telephone_number": "856-375-2440",
            "fax_number": "856-424-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L.K. BOILER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "BOILER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEONE KONEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-375-2440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05607900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rooted Psychotherapy and Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.