Individual provider Active NPI

Caitlin Archibald, MS, LPC, NCC, ACS

  • Counselor
  • Moorestown, NJ
National Provider Identifier
1932590726
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37AC00245500 Issued in NJ
Practice address
115 N Church St
Moorestown, NJ 08057-2493
Phone
(609) 225-4885
NPI assigned
Feb 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC00245500 NJ Primary

Addresses

Primary practice location

115 N Church St
Moorestown, NJ 08057-2493

Mailing address

115 N Church St
Moorestown, NJ 08057-2493
Phone (609) 225-4885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 19, 2024 through Mar 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
37AC00245500NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Cares a NJ Nonprofit Corporation Current Accepting new patients
The Chrysalis Counseling Center Counselor CurrentSince Nov 1, 2020 Accepting new patients

Locations

115 N Church St
Ste 1
Moorestown, NJ 08057
Phone (609) 225-4885

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1932590726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N CHURCH ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572493",
            "telephone_number": "609-225-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N CHURCH ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572493",
            "telephone_number": "609-225-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "CAITLIN",
        "credential": "MS, LPC, NCC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-15",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00245500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.