Individual provider Active NPI

Kathy Meline

  • Marriage & Family Therapist
  • Haddon TWP, NJ
National Provider Identifier
1639049653
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37F100222200 Issued in NJ
Practice address
215 Highland Ave Ste C
Haddon TWP, NJ 08108-2634
Phone
(856) 854-3155
NPI assigned
Nov 5, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 37F100222200 NJ Primary

Addresses

Primary practice location

215 Highland Ave Ste C
Haddon TWP, NJ 08108-2634

Mailing address

PO Box 294
Mount Laurel, NJ 08054-0294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 16, 2024 through May 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37F100222200NJMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1639049653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080540294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HIGHLAND AVE STE C",
            "city": "HADDON TWP",
            "state": "NJ",
            "postal_code": "081082634",
            "telephone_number": "856-854-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELINE",
        "first_name": "KATHY",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37F100222200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon TWP, NJ

Sources for this page

Verify at the official NPI Registry.