Individual provider Active NPI

Dawn F Gillespie, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Cinnaminson, NJ
National Provider Identifier
1689061335
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00081600 Issued in NJ
Practice address
101 Route 130 S
Madison BLDG Suite 321
Cinnaminson, NJ 08077-2845
Phone
(856) 829-3385
Fax
(856) 829-8985
NPI assigned
Apr 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00081600 NJ Primary

Addresses

Primary practice location

101 Route 130 S
Madison BLDG Suite 321
Cinnaminson, NJ 08077-2845

Mailing address

101 Route 130 S
Madison BLDG Suite 321
Cinnaminson, NJ 08077-2845
Phone (856) 829-3385

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

LicenseStateTypeSpecialty
37LC00081600NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthmark Counseling, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1689061335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROUTE 130 S",
            "address_2": "MADISON BLDG SUITE 321",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772845",
            "telephone_number": "856-829-3385",
            "fax_number": "856-829-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROUTE 130 S",
            "address_2": "MADISON BLDG SUITE 321",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772845",
            "telephone_number": "856-829-3385",
            "fax_number": "856-829-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "DAWN",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00081600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.