NPIMap

Organization Active NPI

Mending Hearts Family Counseling

Doing business as Mending Hearts Behavioral Health & Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burlington, NJ
National Provider Identifier
1609585645
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MENDING HEARTS FAMILY COUNSELING
Doing business as
Mending Hearts Behavioral Health & Family Services
Practice address
60 Cathy LN Ste 103
Burlington, NJ 08016-9727
Phone
(609) 499-0165
NPI assigned
Nov 17, 2022
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MENDING HEARTS FAMILY COUNSELINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Danita Sharice Thompson, PHD., LMFTNPI 1154621209
Title
Ceo/Clinical Director
Phone
(609) 499-0165

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

60 Cathy LN Ste 103
Burlington, NJ 08016-9727

Mailing address

PO Box 130
Columbus, NJ 08022-0130
Phone (609) 499-0165

Other names 1

  • Mending Hearts Behavioral Health & Family Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240809001325 NJ Part B Supplier - Clinic/Group Practice 8325586217 Receives reassigned benefits from 2 practitioners
Practice locations: Florence, NJ

National Provider Directory

National Provider Directory
Tax ID family
Mending Hearts Family Counseling2 organizations share this tax ID, including this one
Part of
Mending Hearts Family Counseling

Other organizations with this tax ID 1

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

Locations

60 Cathy Ln
Ste 103
Burlington, NJ 08016
Phone (609) 499-0165

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1609585645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080220130",
            "telephone_number": "609-499-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CATHY LN STE 103",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080169727",
            "telephone_number": "609-499-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING HEARTS FAMILY COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENDING HEARTS FAMILY COUNSELING",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DANITA",
        "authorized_official_middle_name": "SHARICE",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "609-499-0165",
        "authorized_official_credential": "PHD., LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mending Hearts Behavioral Health & Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mending Hearts Behavioral Health & Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.