Active NPI
Family Therapy and Consultation Services
- Professional Counselor
- Woodbury, NJ
National Provider Identifier
1679087712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00150900
- Legal business name
- FAMILY THERAPY AND CONSULTATION SERVICES
- Practice address
- 1 Lupton Ave
Woodbury, NJ 08096-5901 - Phone
- (856) 332-4698
- Fax
- (856) 415-7574
- NPI assigned
- Nov 28, 2017
- Last updated
- Jun 16, 2018
- 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
- Nancy Kline Gold
- Title
- President/Ceo
- Phone
- (856) 332-4698
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00150900 | NJ | Primary |
Addresses
Primary practice location
1 Lupton Ave
Woodbury, NJ 08096-5901
Mailing address
1 Lupton Ave
Woodbury, NJ 08096-5901
Phone (856) 332-4698
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0046132 | Medicaid | NJ | |
| 397539 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Family Therapy and Consultation Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Woodbury, NJ
- NPI 1730239450
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Woodbury, NJ
- NPI 1821798679
-
- Professional Counselor
- Williamstown, NJ
- NPI 1841779857
-
- Professional Counselor
- Cherry Hill, NJ
- NPI 1558695080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1679087712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LUPTON AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080965901",
"telephone_number": "856-332-4698",
"fax_number": "856-415-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LUPTON AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080965901",
"telephone_number": "856-332-4698",
"fax_number": "856-415-7574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY THERAPY AND CONSULTATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-28",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "GOLD",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "KLINE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "856-332-4698"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00150900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0046132",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "397539",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.