NPIMap

Organization Active NPI

Solstice Counseling Services Corp.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pemberton, NJ
National Provider Identifier
1578843660
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2000499-11 Issued in NJ
Legal business name
SOLSTICE COUNSELING SERVICES CORP.
Practice address
300 Birmingham Rd
Pemberton, NJ 08068-1326
Phone
(609) 288-8844
Fax
(609) 288-7210
NPI assigned
Aug 22, 2011
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Michael Mandale, JD
Title
Ceo
Phone
(609) 288-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2000499-11 NJ Primary

Addresses

Primary practice location

300 Birmingham Rd
Pemberton, NJ 08068-1326

Mailing address

300 Birmingham Rd
Pemberton, NJ 08068-1326
Phone (609) 288-8844

Other practice location 1

29 S Broad St
Woodbury, NJ 08096-4655
Phone (856) 345-1461

Other practice location 2

411 Kings Hwy S
Cherry Hill, NJ 08034-2512
Phone (609) 667-7000

Other identifiers 2

IdentifierTypeStateIssuer
0535797MedicaidNJ
0280925MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Solstice Counseling Services Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1561 Route 38
Ste 1
Lumberton, NJ 08048
Phone 6092888844 ext. 1006

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1578843660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BIRMINGHAM RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681326",
            "telephone_number": "609-288-8844",
            "fax_number": "609-288-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIRMINGHAM RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681326",
            "telephone_number": "609-288-8844",
            "fax_number": "609-288-7210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NJ",
            "postal_code": "080964655",
            "country_code": "US",
            "telephone_number": "856-345-1461",
            "fax_number": "609-288-7210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Kings Hwy S",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342512",
            "country_code": "US",
            "telephone_number": "609-667-7000",
            "fax_number": "609-288-7210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOLSTICE COUNSELING SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "MANDALE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-288-8844",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000499-11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0535797",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280925",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pemberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.