Individual provider Active NPI

Thomas J Flaherty, LPC

  • Professional Counselor
  • Haddon HTS, NJ
National Provider Identifier
1841207602
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00041000 Issued in NJ
Practice address
6 White Horse Pike
Ste 1B
Haddon HTS, NJ 08035
Phone
(856) 672-1900
Fax
(856) 672-9019
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00041000 NJ Primary
Professional Counselor 101YP2500X PC002305 PA

Addresses

Primary practice location

6 White Horse Pike
Ste 1B
Haddon HTS, NJ 08035

Mailing address

6 White Horse Pike
Ste 1B
Haddon HTS, NJ 08035
Phone (856) 672-1900

Other identifiers 2

IdentifierTypeStateIssuer
7275364OtherAETNA
2321306000OtherBLUE CROSS

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
37PC00041000NJMDProfessional Counselor
PC002305PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841207602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WHITE HORSE PIKE",
            "address_2": "STE 1B",
            "city": "HADDON HTS",
            "state": "NJ",
            "postal_code": "08035",
            "telephone_number": "856-672-1900",
            "fax_number": "856-672-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WHITE HORSE PIKE",
            "address_2": "STE 1B",
            "city": "HADDON HTS",
            "state": "NJ",
            "postal_code": "08035",
            "telephone_number": "856-672-1900",
            "fax_number": "856-672-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00041000",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002305",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7275364",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2321306000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon HTS, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.