Active NPI
Bertee Thomas Jr., PSY. D,
- Professional Counselor
- Lumberton, NJ
National Provider Identifier
1649627431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00446100
- Practice address
- 774 Eayrestown Rd
Lumberton, NJ 08048-3100 - Phone
- (609) 668-4719
- NPI assigned
- May 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00446100 | NJ | Primary |
Addresses
Primary practice location
774 Eayrestown Rd
Lumberton, NJ 08048-3100
Mailing address
774 Eayrestown Rd
Lumberton, NJ 08048-3100
Phone (609) 668-4719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Philadelphia College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
479 State RT
17 1119
Mahwah, NJ 07430-2116
Phone (201) 644-6523
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00446100 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Mental and Behavioral Health Services | Professional | Current | Accepting new patients |
| Bright Beginnings Mental Health and Behavioral Solutions | Current | Accepting new patients | |
| Mindfully Healing Mental and Behavioral Wellness Services | Current | Accepting new patients | |
| Creative Change Counseling | Past | Accepting new patients | |
| Creative Change Counseling | Past | Accepting new patients | |
| Creative Change Counseling | Past | Accepting new patients |
Locations
423 7th Ave SW
Hickory, NC 28602
Phone 8283276026 ext. 225
668 Main St
Lumberton, NJ 08048
Phone (609) 265-7865
Organizations & group practices 7
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.
-
- Mental Health Counselor
- Burlington, NJ
- NPI 1720911647
-
- Case Management Agency
- Houston, TX
- NPI 1386453702
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hamilton, NJ
- NPI 1245991744
-
- Adolescent and Children Mental Health Clinic/Center
- Lumberton, NJ
- NPI 1841813722
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hickory, NC
- NPI 1053794065
-
- Mental Health Counselor
- New Milford, NJ
- NPI 1467210724
-
- Professional Counselor
- Burlington Township, NJ
- NPI 1649147315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463788800000",
"number": "1649627431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 EAYRESTOWN RD",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "080483100",
"telephone_number": "609-668-4719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 EAYRESTOWN RD",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "080483100",
"telephone_number": "609-668-4719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "BERTEE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSY. D,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-21",
"last_updated": "2016-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00446100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.