Individual provider Active NPI

Latoyria Djanie, CAC

  • Pastoral Counselor
  • Gloucester City, NJ
National Provider Identifier
1699342055
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
110 Weston Ave # 2
Gloucester City, NJ 08030-1352
Phone
(609) 503-0608
NPI assigned
Jun 4, 2021
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Pastoral Counselor 101YP1600X NJ Primary

Addresses

Primary practice location

110 Weston Ave # 2
Gloucester City, NJ 08030-1352

Mailing address

608 W Schuylkill Rd Apt 332
Pottstown, PA 19465-9622
Phone (484) 366-9871

Other practice location 1

608 W Schuylkill Rd Apt 332
Pottstown, PA 19465-9622
Phone (484) 366-9871

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Dreams Safe Haven, Inc. CurrentSince Mar 9, 2022 Accepting new patients

Locations

110 Weston Ave
#2
Gloucester City, NJ 08030
Phone (609) 503-0608

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1699342055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 W SCHUYLKILL RD APT 332",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194659622",
            "telephone_number": "484-366-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WESTON AVE # 2",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301352",
            "telephone_number": "609-503-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 W Schuylkill Rd Apt 332",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194659622",
            "country_code": "US",
            "telephone_number": "484-366-9871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DJANIE",
        "first_name": "LATOYRIA",
        "credential": "CAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.