| Rooted Psychotherapy And Counseling | |
|
1878 Marlton Pike E Ste 2 Cherry Hill NJ 08003-2090 | |
| (856) 375-2440 | |
| (856) 424-2949 |
| Full Name | Rooted Psychotherapy And Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1878 Marlton Pike E Ste 2, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Jennifer Leone Konen Boiler (OWNER) |
| Authorized Official Contact | 8563752440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Psychotherapy And Counseling 782 Rosevine Ln Erie CO 80516-7064 Ph: (856) 375-2440 | Rooted Psychotherapy And Counseling 1878 Marlton Pike E Ste 2 Cherry Hill NJ 08003-2090 Ph: (856) 375-2440 |
| NPI Number | 1518323385 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Medicare PECOS PAC ID | 3072818863 |
|---|---|
| Medicare Enrollment ID | O20160216000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518323385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05607900 (New Jersey) | Primary |
| Provider Name | Jennifer Lk Boiler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225433345 PECOS PAC ID: 4880999671 Enrollment ID: I20160216000915 |
| Provider Name | Katherine Stubbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629500905 PECOS PAC ID: 8820365968 Enrollment ID: I20170522001269 |
| Provider Name | Keren F Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467923466 PECOS PAC ID: 2062750011 Enrollment ID: I20190218000093 |
| Provider Name | Maura R Rafferty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013675651 PECOS PAC ID: 3870979677 Enrollment ID: I20221003000344 |
| Provider Name | Katelin Anne Dibenedetto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801592027 PECOS PAC ID: 4082070354 Enrollment ID: I20230512000614 |
| Provider Name | Brittany Fair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093110652 PECOS PAC ID: 0941665962 Enrollment ID: I20231206001299 |
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