Organization Active NPI

Counseling and Rehabilitation of New Jersey, Inc.

  • Rehabilitation Practitioner
  • Marlton, NJ
National Provider Identifier
1558575423
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
COUNSELING AND REHABILITATION OF NEW JERSEY, INC.
Practice address
5000 Sagemore Dr
Suite 203
Marlton, NJ 08053-4307
Phone
(856) 596-5122
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sally Kneipp, PH.D.
Title
Vice President and Director
Phone
(856) 596-5122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

5000 Sagemore Dr
Suite 203
Marlton, NJ 08053-4307

Mailing address

PO Box 687
Marlton, NJ 08053-0687
Phone (856) 596-5122

Other identifiers 1

IdentifierTypeStateIssuer
5994802MedicaidNJ

Other names 1

  • Community Skills Program Other name

National Provider Directory

National Provider Directory

Locations

5000 Sagemore Dr
Ste 203
Marlton, NJ 08053
Phone (856) 596-5122

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558575423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080530687",
            "telephone_number": "856-596-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SAGEMORE DR",
            "address_2": "SUITE 203",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534307",
            "telephone_number": "856-596-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND REHABILITATION OF NEW JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNEIPP",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "VICE PRESIDENT AND DIRECTOR",
        "authorized_official_telephone_number": "856-596-5122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5994802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Skills Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.