Active NPI
Theresa Soda, LPC
- Professional Counselor
- Laurel Springs, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00288800
- Practice address
- 1387 Chews Landing Rd
Laurel Springs, NJ 08021-2760 - Phone
- (856) 454-3104
- NPI assigned
- May 25, 2023
- Last updated
- May 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00288800 | NJ | Primary |
Addresses
Primary practice location
1387 Chews Landing Rd
Laurel Springs, NJ 08021-2760
Mailing address
1387 Chews Landing Rd
Laurel Springs, NJ 08021-2760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00288800 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Bay Wellness, LLC | Current | Accepting new patients | |
| Hunterdon Medical Center | Current | Accepting new patients | |
| Hunterdon Medical Center | Current | Accepting new patients |
Locations
2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420
1387 Chews Landing Rd
Laurel Springs, NJ 08021
Phone (855) 760-2933
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hunterdon Behavioral Health Therapists
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flemington, NJ
- NPI 1679339501
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Laurel Springs, NJ
- NPI 1124663059
-
dba Hunterdon Nephrology Associates
- Nephrology Physician
- Flemington, NJ
- NPI 1396561577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1871285916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1387 CHEWS LANDING RD",
"city": "LAUREL SPRINGS",
"state": "NJ",
"postal_code": "080212760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1387 CHEWS LANDING RD",
"city": "LAUREL SPRINGS",
"state": "NJ",
"postal_code": "080212760",
"telephone_number": "856-454-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SODA",
"first_name": "THERESA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-25",
"last_updated": "2023-05-25",
"certification_date": "2023-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00288800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel Springs, NJ
- Panagiota Sehas, LAMFT
- Nirmala Selvam, M.D.
- Senior Care Centers of America, Inc. (Active Day of Laurel Springs)
- Vidhi Shah, DMD
- Sicklerville Internal Medicine
- Meredith Rose Sodie, LMFT
- Solus Pharmacy LLC (Solus Pharmacy)
- Solus Pharmacy LLC (Solus Pharmacy)
- Sos Transportation LLC
- Theresa Soutar, R.N. APN-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.