Active NPI
Richard Theodore Lange Jr., LCSW
- Professional Counselor
- Voorhees, NJ
National Provider Identifier
1609991470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00241100
- Practice address
- 108 Somerdale Rd
Voorhees, NJ 08043-1901 - Phone
- (856) 428-5688
- Fax
- (856) 795-4094
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00241100 | NJ | Primary |
| Clinical Social Worker | 1041C0700X | 44SC05250800 | NJ |
Addresses
Primary practice location
108 Somerdale Rd
Voorhees, NJ 08043-1901
Mailing address
300 Kauffman St
Philadelphia, PA 19147-3210
Phone (215) 463-1829
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00166363300 | Other | NJ | INDEPENDENCE BC BC |
| 2321500000 | Other | NJ | AMERIHEALTH PPO |
| 7119413 | Other | NJ | AETNA BEHAVIORAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00241100 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1609991470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 KAUFFMAN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191473210",
"telephone_number": "215-463-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 SOMERDALE RD",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080431901",
"telephone_number": "856-428-5688",
"fax_number": "856-795-4094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "RICHARD",
"middle_name": "THEODORE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00241100",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05250800",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BC BC",
"identifier": "00166363300",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO",
"identifier": "2321500000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "7119413",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.