Active NPI
Tia M Giberson
- Professional Counselor
- Cherry Hill, NJ
National Provider Identifier
1659098010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00896900
- Practice address
- 926 Haddonfield Rd # 764
Cherry Hill, NJ 08002-2775 - Phone
- (609) 477-1280
- NPI assigned
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 37PC00896900 | NJ | Primary |
Addresses
Primary practice location
926 Haddonfield Rd # 764
Cherry Hill, NJ 08002-2775
Mailing address
926 Haddonfield Rd # 764
Cherry Hill, NJ 08002-2775
Other names 1
- Tia M Baranosky
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00896900 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1659098010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 HADDONFIELD RD # 764",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 HADDONFIELD RD # 764",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022775",
"telephone_number": "609-477-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBERSON",
"first_name": "TIA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00896900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIA",
"last_name": "BARANOSKY",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.