Individual provider Active NPI

Amanda J Zacharias, M.S.

  • Mental Health Counselor
  • Mount Laurel, NJ
National Provider Identifier
1780869677
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00422800 Issued in NJ
Practice address
3111 Route 38 Ste 11-603
Mount Laurel, NJ 08054-9754
Phone
(856) 252-0767
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 37PC00422800 NJ Primary

Addresses

Primary practice location

3111 Route 38 Ste 11-603
Mount Laurel, NJ 08054-9754

Mailing address

6503 Coventry Way
Mount Laurel, NJ 08054-6828
Phone (856) 313-6686

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
37PC00422800NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Moments Counseling LLC Mental Health CurrentSince May 1, 2025 Accepting new patients

Locations

3111 Route 38
Ste 11603
Mount Laurel, NJ 08054
Phone (856) 252-0767

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1780869677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 COVENTRY WAY",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546828",
            "telephone_number": "856-313-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 ROUTE 38 STE 11-603",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549754",
            "telephone_number": "856-252-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIAS",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00422800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.