Organization Active NPI

Solstice Counseling Services Corp.

  • Clinical Medical Laboratory
  • Pemberton, NJ
National Provider Identifier
1841841137
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SOLSTICE COUNSELING SERVICES CORP.
Practice address
300 Birmingham Rd
Pemberton, NJ 08068-1326
Phone
(609) 288-8844
NPI assigned
Sep 27, 2019
Last updated
Aug 9, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SOLSTICE COUNSELING SERVICES CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Michael Mandale, JD
Title
Ceo
Phone
(609) 288-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

300 Birmingham Rd
Pemberton, NJ 08068-1326

Mailing address

300 Birmingham Rd
Pemberton, NJ 08068-1326
Phone (609) 288-8844

Other identifiers 1

IdentifierTypeStateIssuer
0280925MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael@solsticecares.com

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2107297Solstice Counseling Services, Inc300 Birmingham Road, Pemberton, NJ 08068AccreditationOct 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Solstice Counseling Services Corp3 organizations share this tax ID, including this one
Part of
Solstice Counseling Services Corp

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1841841137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BIRMINGHAM RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681326",
            "telephone_number": "609-288-8844",
            "fax_number": "609-288-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIRMINGHAM RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681326",
            "telephone_number": "609-288-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLSTICE COUNSELING SERVICES CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLSTICE COUNSELING SERVICES CORP.",
        "enumeration_date": "2019-09-27",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "MANDALE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-288-8844",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280925",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael@solsticecares.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "address_1": "300 Birmingham Rd",
            "city": "Pemberton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080681326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pemberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.