Active NPI
Eating Disorder & Anxiety Center of New Jersey
- Professional Counselor
- Sicklerville, NJ
National Provider Identifier
1649025602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- EATING DISORDER & ANXIETY CENTER OF NEW JERSEY
- Practice address
- 187 Breckenridge Dr
Sicklerville, NJ 08081-3240 - Phone
- (215) 206-1749
- NPI assigned
- Apr 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabrielle Alyse Morreale, M.A. LPC
- Title
- Owner and Clinical Director
- Phone
- (215) 206-1749
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
187 Breckenridge Dr
Sicklerville, NJ 08081-3240
Mailing address
187 Breckenridge Dr
Sicklerville, NJ 08081-3240
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Pottstown, PA
- NPI 1477918548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1649025602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 BRECKENRIDGE DR",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080813240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 BRECKENRIDGE DR",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080813240",
"telephone_number": "215-206-1749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EATING DISORDER & ANXIETY CENTER OF NEW JERSEY",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "MORREALE",
"authorized_official_first_name": "GABRIELLE",
"authorized_official_middle_name": "ALYSE",
"authorized_official_title_or_position": "OWNER AND CLINICAL DIRECTOR",
"authorized_official_telephone_number": "215-206-1749",
"authorized_official_credential": "M.A. LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.