Chairville Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHAIRVILLE COUNSELING

Practice address

11 Chairville Rd
Medford, NJ 08055-9619

Phone

(609) 388-8919

NPI assigned

Apr 3, 2024

Organization subpart

Yes

Parent organization

TRI-STATE DBT ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Mrs. Jennifer Agnes Gould, MA, LPC, NCCNPI 1447750641

Title

Managing Director

Phone

(609) 975-3250

Specialties & licenses 1

Addresses

Other names 1

• Chairville Counseling Doing business as

Part of

Chairville Counseling

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Agnes Gould, MA, LPC, NCC

  • Mental Health Counselor
  • Medford, NJ
  • NPI 1447750641
  NPD Authorized official
• Taylor Broderick

  • Mental Health Counselor
  • Medford, NJ
  • NPI 1851088082
  NPD
• Courtney Warren Flank, MS, LPC, NCC

  • Mental Health Counselor
  • Medford, NJ
  • NPI 1558241356
  NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1861244709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHAIRVILLE RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559619",
            "telephone_number": "609-975-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CHAIRVILLE RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559619",
            "telephone_number": "609-388-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAIRVILLE COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-STATE DBT ASSOCIATES",
        "enumeration_date": "2024-04-03",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "AGNES",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "609-975-3250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chairville Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Medford, NJ
• Providers in Medford, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.