Individual provider Active NPI

Cynthia Mellitz, M.A., LPC

  • Mental Health Counselor
  • Cherry Hill, NJ
National Provider Identifier
1619306016
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00519600 Issued in NJ
Practice address
1917 Kennet CT
Cherry Hill, NJ 08003-4722
Phone
(856) 278-5791
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC0011230 NJ
Mental Health Counselor 101YM0800X 37PC00519600 NJ Primary

Addresses

Primary practice location

1917 Kennet CT
Cherry Hill, NJ 08003-4722

Mailing address

1917 Kennet CT
Cherry Hill, NJ 08003-4722
Phone (856) 278-5791

Other practice location 1

79 Chestnut St
Lumberton, NJ 08048-1134
Phone (609) 217-4071

Other practice location 2

350 Sentry Parkway Building #610, Suite 130
Blue Bell, PA 19422
Phone (856) 448-4989

Other practice location 3

1401 Marlton Pike E Ste 27
Cherry Hill, NJ 08034-2207
Phone (856) 448-4989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240404003792 NJ Practitioner - Mental Health Counselor 2163874710 Reassigns benefits to 1 organization
I20250123003073 PA Practitioner - Mental Health Counselor 2163874710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37AC0011230NJMDCounselor
37PC00519600NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Feb 17, 2025 Accepting new patients
Listen and Grow LLC Mental Health CurrentSince Jul 19, 2020 Accepting new patients
Advocare, LLC CurrentSince Feb 17, 2025 Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

350 Sentry Pkwy
Bldg 610
Blue Bell, PA 19422
Phone (856) 448-4989

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

Interoperability endpoints

  • Direct secure messaging: cynthia.mellitz@advocaredoctors.eclinicaldirectplus.com
  • Direct secure messaging: cynthia.mellitz.p1@direct.cfg.nextgenshare.com

Organizations & group practices 3

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1619306016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 KENNET CT",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034722",
            "telephone_number": "856-278-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 KENNET CT",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034722",
            "telephone_number": "856-278-5791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NJ",
            "postal_code": "080481134",
            "country_code": "US",
            "telephone_number": "609-217-4071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Sentry Parkway Building #610, Suite 130",
            "address_purpose": "LOCATION",
            "city": "Blue Bell",
            "state": "PA",
            "postal_code": "19422",
            "country_code": "US",
            "telephone_number": "856-448-4989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Marlton Pike E Ste 27",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342207",
            "country_code": "US",
            "telephone_number": "856-448-4989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLITZ",
        "first_name": "CYNTHIA",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC0011230",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00519600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.