Individual provider Active NPI

Heather Rosiak

  • Mental Health Counselor
  • Voorhees, NJ
National Provider Identifier
1710560974
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00368400 Issued in NJ
Practice address
1103 Sheppard Rd
Voorhees, NJ 08043-4797
Phone
(609) 904-3933
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00368400 NJ Primary

Addresses

Primary practice location

1103 Sheppard Rd
Voorhees, NJ 08043-4797

Mailing address

8 Castor CT
Blackwood, NJ 08012-2445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240730000306 NJ Practitioner - Mental Health Counselor 8921545740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00368400NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Practices Counseling LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

103 Old Marlton Pike
Ste 101
Medford, NJ 08055
Phone (609) 953-3440

520 Stokes Rd
Ste A5
Medford, NJ 08055
Phone (856) 223-2222

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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1710560974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CASTOR CT",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 SHEPPARD RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434797",
            "telephone_number": "609-904-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSIAK",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00368400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.