Joanne Robertson, LPC, Acs, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

37PC00383000 Issued in NJ

Legal business name

JOANNE ROBERTSON, LPC, ACS, LLC

Practice address

123 Egg Harbor Rd Ste 202
Sewell, NJ 08080-9406

Phone

(856) 292-5540

NPI assigned

Oct 21, 2017

Last updated

Oct 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanne Gallo Robertson, LPC, ACS

Title

Licensed Professional Counselor

Phone

(856) 292-5540

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508544000000",
    "number": "1881105534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CHARLES LN",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802716",
            "telephone_number": "856-430-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD STE 202",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809406",
            "telephone_number": "856-292-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE ROBERTSON, LPC, ACS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-21",
        "last_updated": "2017-10-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "GALLO",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "856-292-5540",
        "authorized_official_credential": "LPC, ACS"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "37PC00383000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakitta Denise Jefferson, MSN, CRNP, FNP-C
• Jeffrey a. Kimelman, DMD, PC
• John David Jennings, MD
• Joan M. Jerrido, DPM
• Jnam Senior Services (Seniors helping seniors)
• John E Sheppard DDS PA
• Michael Gregory Johncola Jr., PT, DPT
• Atiyya Johnson
• Casey Scott Johnson
• William Johnson Jr., COTA

• Adolescent and Children Mental Health Clinic/Center in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2017; 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.