NPIMap

Organization Active NPI

Therapeutic Self Care

  • Mental Health Counselor
  • Galloway, NJ
National Provider Identifier
1912570144
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THERAPEUTIC SELF CARE
Practice address
427 S Xanthus Ave
Galloway, NJ 08205-4642
Phone
(609) 328-0775
NPI assigned
Jul 24, 2021
Last updated
Feb 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Gabriela Catalina Lopez, LPCNPI 1538625546
Title
LPC/Owner
Phone
(609) 328-0775

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

427 S Xanthus Ave
Galloway, NJ 08205-4642

Mailing address

427 S Xanthus Ave
Galloway, NJ 08205-4642
Phone (609) 328-0775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230912003268 NJ Part B Supplier - Clinic/Group Practice 0345604120 Receives reassigned benefits from 3 practitioners
Practice locations: Galloway, NJ

National Provider Directory

National Provider Directory
Tax ID family
Therapeutic Self Care2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1912570144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S XANTHUS AVE",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054642",
            "telephone_number": "609-328-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S XANTHUS AVE",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054642",
            "telephone_number": "609-328-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC SELF CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-24",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_middle_name": "CATALINA",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "609-328-0775",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.