Organization Active NPI

Fresh Start Counseling LLC

  • Mental Health Counselor
  • Voorhees, NJ
National Provider Identifier
1861281867
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FRESH START COUNSELING LLC
Practice address
701 White Horse Rd Ste 3
Voorhees, NJ 08043-2494
Phone
(609) 503-0484
NPI assigned
May 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Dymir Tatem, LCSWNPI 1154932713
Title
Owner/Founder
Phone
(609) 503-0484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

701 White Horse Rd Ste 3
Voorhees, NJ 08043-2494

Mailing address

1848 Cornus CT
Williamstown, NJ 08094-4628
Phone (609) 503-0484

National Provider Directory

National Provider Directory
Tax ID family
Fresh Start Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1861281867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 CORNUS CT",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080944628",
            "telephone_number": "609-503-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WHITE HORSE RD STE 3",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432494",
            "telephone_number": "609-503-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "TATEM",
        "authorized_official_first_name": "DYMIR",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "609-503-0484",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

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