Individual provider Active NPI

Edward J. Olwell, M.A., LCADC, SAP

  • Addiction (Substance Use Disorder) Counselor
  • Cape May Court House, NJ
National Provider Identifier
1639200744
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00098200 Issued in NJ
Practice address
217 N Main St
Suite 202
Cape May Court House, NJ 08210-2165
Phone
(609) 463-0014
Fax
(609) 463-8671
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00098200 NJ Primary

Addresses

Primary practice location

217 N Main St
Suite 202
Cape May Court House, NJ 08210-2165

Mailing address

400 John F Kennedy Blvd
Unit One
North Wildwood, NJ 08260-5853
Phone (609) 522-2183

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37LC00098200NJMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1639200744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JOHN F KENNEDY BLVD",
            "address_2": "UNIT ONE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082605853",
            "telephone_number": "609-522-2183",
            "fax_number": "609-523-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102165",
            "telephone_number": "609-463-0014",
            "fax_number": "609-463-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLWELL",
        "first_name": "EDWARD",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "M.A., LCADC, SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00098200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.