S0LASTA INCORPORATED (NPI# 1285292961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285292961 |
| Entity Type | Organization |
| Organization Name | S0LASTA INCORPORATED |
| Practice Address |
56 Ginger Dr Lumberton NJ 08048-4204 |
| Practice Telephone | 6097460146 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | JENNIFER MARTIN (CEO) |
| Authorized Official Telephone | 6097460146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Counseling at the Solasta | Former Legal Business Name - Organization |
| Street Address |
56 GINGER DR |
| City | LUMBERTON |
| State | NJ |
| Zip Code | 08048-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538560826 | Jennifer Martin | Counselor | 56 Ginger Dr, Lumberton, NJ 08048-4204 | 2014-09-05 |
| 1689143372 | The Solasta Group | Counselor | 56 Ginger Dr, Lumberton, NJ 08048-4204 | 2018-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
| 1598139230 | Donise Paullette Dumpson | Nurse Anesthetist, Certified Registered | 140 Mt. Holly Bypass, Lumberton, NJ 08048 | 2015-11-18 |
| 1578962486 | Anne Greenwood | Counselor | 79 Chestnut Street, Lumberton, NJ 08048 | 2014-08-15 |
| 1780008136 | Alexander Park | Counselor | 770 Woodland Road, Mt. Holly, NJ 08048 | 2014-02-05 |
| 1396039772 | Linda Jean Wiles | Social Worker | 305 Dove Court, Lumberton, NJ 08048 | 2011-06-03 |
| 1073743365 | Advocating Counseling Enrichment and Development LLC | Social Worker | 41 Bridge Rd, Lumberton, NJ 08048 | 2009-07-21 |
| 1801940721 | Prathima Neruganti | Dentist | 1636 Route 38 Ste 21, Lumberton Plaza, Lumberton, NJ 08048 | 2007-01-22 |
| 1932288743 | Dental Health Associates Pa | Dentist | 1636 21 Rt 38, Lumberton Plaza, Lumberton, NJ 08048 | 2006-11-03 |
| 1093898769 | Patricia R Lyons | Dentist | 1636 21 Rte 38 Lumberton Plaza, Dental Health Associates Pa, Lumberton, NJ 08048 | 2006-10-24 |
| 1295828598 | George M Budd | Dentist | 737 Main Street, George M Budd Dds, Lumberton, NJ 08048 | 2006-10-02 |
| Find all providers in zip 08048 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629505573 | Vernon Archie Wiggins IIi | Counselor | 242 S Lhs Dr, Lumberton, TX 77657-8603 | 2017-05-22 |
| 1023449790 | Beverly Oxendine Young II | Counselor | 111 Elba St, Lumberton, NC 28358-3457 | 2013-12-06 |
| 1235481938 | Primary Health Choice, Inc. | Counselor | 107 Mount Moriah Church Rd Ste A, Lumberton, NC 28360-8446 | 2012-10-05 |
| 1700161635 | Chandra Jeanne Graham | Counselor | 4101 W Carthage Rd, Lumberton, NC 28360-9389 | 2011-10-11 |
| 1740584655 | Mark Michael Asteris Jr. | Counselor | 6 Old Trahan Pl, Lumberton, TX 77657-7013 | 2011-01-06 |
| 1235383878 | Karen D Nance | Counselor | 1384 Linkhaw Rd, Lumberton, NC 28358 | 2008-11-10 |
| 1447433099 | Primary Health Choice, Inc. | Counselor | 4822 Fayetteville Rd, Lumberton, NC 28358-2112 | 2007-12-06 |
| 1508069683 | Michael Antonio Powell | Counselor | 101 N Court Sq, Office 18, Lumberton, NC 28358-5579 | 2007-06-07 |
| 1598983991 | George Ross Iles IIi | Counselor | 260 Magnolia Trl, Lumberton, TX 77657-9277 | 2007-04-23 |
| 1780729608 | Lena Michelle Lowry | Counselor | 6367 Union Chapel Rd, Lumberton, NC 28360-3501 | 2007-02-20 |
| Find all providers in LUMBERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.