Active NPI
Courtney S Hrivnak, LAC
- Mental Health Counselor
- Haddon Township, NJ
National Provider Identifier
1679386742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00756400
- Practice address
- 215 Highland Ave Ste C
Haddon Township, NJ 08108-2634 - Phone
- (856) 287-1669
- NPI assigned
- Jan 30, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00756400 | NJ | Primary |
Addresses
Primary practice location
215 Highland Ave Ste C
Haddon Township, NJ 08108-2634
Mailing address
1305 Shelly LN
Cherry Hill, NJ 08034-3117
Phone (856) 287-1669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37AC00756400 | Other | NJ | NJ STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 37AC00756400 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1679386742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 SHELLY LN",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080343117",
"telephone_number": "856-287-1669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 HIGHLAND AVE STE C",
"city": "HADDON TOWNSHIP",
"state": "NJ",
"postal_code": "081082634",
"telephone_number": "856-287-1669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRIVNAK",
"first_name": "COURTNEY",
"middle_name": "S",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-30",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00756400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ STATE LICENSE NUMBER",
"identifier": "37AC00756400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Haddon Township, NJ
- Lauren F. Hazelton, PHARM.D
- Here and Now Counseling and Consultation
- Lily Hitchens, RDN, LDN
- Christa Lynn Horn, RN
- Anne Marie Horrocks, M.S., BCBA
- Huang Huang, REGISTERED DIETITIAN
- Christopher Huff, LCSW, LCADC
- Suzanne Hughes, M.S.ED., BCBA
- Jerrold D Hutkin, RPH
- Inadvance Medicine Associates East (Passport Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.