Diagnostic &Professional Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC01492200 Issued in NJ

Legal business name

DIAGNOSTIC &PROFESSIONAL COUNSELING

Practice address

118 N Haddon Ave
Haddonfield, NJ 08033-2306

Phone

(856) 429-7435

NPI assigned

Oct 9, 2008

Last updated

Oct 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Darryl Patrick Coppadge, LCSW

Title

Director

Phone

(856) 429-1435

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1659522571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MANSION AVE",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431035",
            "telephone_number": "856-429-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N HADDON AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332306",
            "telephone_number": "856-429-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC &PROFESSIONAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "COPPADGE",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-429-1435",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC01492200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0043494",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Sacks, PH.D. (Deborah Meles, Ph.D.)
• Brielle Delano, LPC
• Virginia Decker Delong, LCSW
• Christopher C Derivaux, M.D.
• Tara Deuso, BCBA
• Francesca Marcus Diefenbach
• Van Thien Dinh
• Michael James Distler, DC, CCSP
• Doebler Foot and Ankle Specialists
• Colleen Donahue, PT, DPT

• Community/Behavioral Health Agency in Haddonfield, NJ
• Providers in Haddonfield, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.