Individual provider Active NPI

Justine Farnsworth, MSED

  • Professional Counselor
  • Cherry Hill, NJ
National Provider Identifier
1619088648
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC000521 Issued in NJ
Practice address
1930 Marlton Pike E
Suite M68
Cherry Hill, NJ 08003-2150
Phone
(856) 816-7114
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC000521 NJ Primary

Addresses

Primary practice location

1930 Marlton Pike E
Suite M68
Cherry Hill, NJ 08003-2150

Mailing address

1930 Marlton Pike E
Suite M68
Cherry Hill, NJ 08003-2150
Phone (856) 816-7114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123002511 NJ Practitioner - Mental Health Counselor 9931557899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Meridian Counseling Services, LLCGroup PAC ID 3173835097, 13 clinicians

Practice addresses (Care Compare)

1930 Marlton Pike E
Suite V 105
Cherry Hill, NJ 08003-2150
Phone (856) 751-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC000521NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Counseling Services, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1930 Route 70 E
Ste V105
Cherry Hill, NJ 08003
Phone (856) 757-0505

1930 Route 70 E
Ste M68
Cherry Hill, NJ 08003
Phone (609) 929-3485

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619088648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E",
            "address_2": "SUITE M68",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032150",
            "telephone_number": "856-816-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E",
            "address_2": "SUITE M68",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032150",
            "telephone_number": "856-816-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "JUSTINE",
        "name_prefix": "Ms.",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC000521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.