Costenah Chanel Greenland, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

454 Hurffville Crosskeys Rd
Sewell, NJ 08080-2339

Phone

(856) 582-1419

Fax

(856) 582-7661

NPI assigned

May 6, 2013

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2024.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1881039733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SKYHOOK CIR",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080966860",
            "telephone_number": "609-558-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 HURFFVILLE CROSSKEYS RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802339",
            "telephone_number": "856-582-1419",
            "fax_number": "856-582-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLAND",
        "first_name": "COSTENAH",
        "middle_name": "CHANEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Rebeca Gomez, CRNP
• Adam Goodwin, DPT
• Jamie H Green, DDS
• William Ross Green, M.D.
• Barry Coleman Greenfield, RPA-C
• Naomi D Gregory, D.O.
• Tracey Gregory, RRT
• Charles Franklin Gresham III, MD
• Navpreet Kaur Grewal, AUD
• Krista Nicole Griffith, PT, DPT

• All providers in Sewell, NJ
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.