Holly Street Counseling - Mental Health Clinic in Willingboro, NJ

Holly Street Counseling is a mental health clinic (Counselor - Mental Health) in Willingboro, New Jersey. The current practice location for Holly Street Counseling is 142 Pheasant Ln, Willingboro, New Jersey. For appointments, you can reach them via phone at (717) 805-4651. The mailing address for Holly Street Counseling is 142 Pheasant Ln, Willingboro, New Jersey and phone number is (717) 805-4651.

Holly Street Counseling is licensed to practice in * (Not Available) (license number ) and its NPI number is 1104494202. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (717) 805-4651.

Contact Information

Holly Street Counseling
142 Pheasant Ln
Willingboro
NJ 08046-2735
(717) 805-4651
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameHolly Street Counseling
SpecialityCounselor - Mental Health
Location142 Pheasant Ln, Willingboro, New Jersey
Authorized Official Name and PositionKresence Greenwood Campbell (OWNER)
Authorized Official Contact7178054651
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Holly Street Counseling
142 Pheasant Ln
Willingboro
NJ 08046-2735

Ph: (717) 805-4651
Holly Street Counseling
142 Pheasant Ln
Willingboro
NJ 08046-2735

Ph: (717) 805-4651

NPI Details:

NPI Number1104494202
Provider Enumeration Date06/15/2021
Last Update Date06/15/2021
Certification Date06/15/2021

Medical Identifiers

Medical identifiers for Holly Street Counseling such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104494202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.