THE WOUNDED HEALER, INC. D/B/A MY FRIENDS HOUSE FAMILY COUNSELING SERV (NPI# 1558859702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558859702 |
| Entity Type | Organization |
| Organization Name | THE WOUNDED HEALER, INC. D/B/A MY FRIENDS HOUSE FAMILY COUNSELING SERV |
| Practice Address |
339 N Route 73 Berlin NJ 08009-9707 |
| Practice Telephone | 8566690292 |
| Practice Fax Number | 8567672632 |
| Mailing Telephone | 8566690292 |
| Mailing Fax Number | 8567672632 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |
| Authorized Official Name | MR. ROBERT LAGUARINA JR. (CEO) |
| Authorized Official Telephone | 8566696900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2000662 | NJ | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093932550 | The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv | Community/Behavioral Health | 371 Glassboro Road, Woodbury Heights, NJ 08097-1026 | 2007-04-19 |
| 1396233474 | The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv | Community/Behavioral Health | 339 N Route 73, Berlin, NJ 08009-9707 | 2018-04-25 |
| 1912437914 | The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv | Clinic/Center | 371 Glassboro Rd, Woodbury Heights, NJ 08097-1026 | 2017-06-13 |
| Street Address |
339 N ROUTE 73 |
| City | BERLIN |
| State | NJ |
| Zip Code | 08009-9707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693511 | Richard C Costa | Family Medicine | 339 N Route 73, Suite 1, Berlin, NJ 08009-9707 | 2005-10-17 |
| 1306478649 | Joseph Carroll | Physician Assistant | 339 N Route 73, Berlin, NJ 08009-9707 | 2020-02-05 |
| 1396233474 | The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv | Community/Behavioral Health | 339 N Route 73, Berlin, NJ 08009-9707 | 2018-04-25 |
| 1386018398 | Eric Jacala | Physician Assistant | 339 N Route 73, Suite 1, Berlin, NJ 08009-9707 | 2015-11-16 |
| 1184025538 | Advocare, LLC | General Practice | 339 N Route 73, Suite 1, Berlin, NJ 08009-9707 | 2014-09-04 |
| 1306192539 | Giving Tree Counseling LLC | Clinic/Center | 339 N Route 73, Suite 7, Berlin, NJ 08009-9707 | 2012-07-25 |
| 1821275264 | Omotola Ugochuku | Dentist | 339 N Route 73, Suite 4, Berlin, NJ 08009-9707 | 2008-01-29 |
| 1023130895 | R. Lincoln Stolber | Dentist | 339 N Route 73, Winslow Prof. Bldg. Suite 4, Berlin, NJ 08009-9707 | 2007-04-04 |
| 1962528612 | Kelly M Paglione | Physician Assistant | 339 N Route 73, Suite 1, Berlin, NJ 08009-9707 | 2007-03-22 |
| 1912052861 | Professional Center Pharmacy | Pharmacist | 339 N Route 73, Winslow Professional Building, Berlin, NJ 08009-9707 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104365592 | Sean Gerard King | Physical Therapist | 115 Route 73 N, #80, Berlin, NJ 08009 | 2017-02-17 |
| 1407303472 | Phoebe Brady | Counselor | 116 Grove St., Berlin, NJ 08009 | 2016-09-07 |
| 1669929782 | Courtney Lynne Chambers | Nurse Practitioner | 16 Aristone Drive, Berlin, NJ 08009 | 2016-09-07 |
| 1346625423 | Amy Torpey | Social Worker | 128 Berlin Cross Keys Road, Berlin, NJ 08009 | 2015-07-30 |
| 1821479494 | Personalized Independent Living Opporuntities & Training Services | Day Training, Developmentally Disabled Services | 283 Jackson Road, Berlin, NJ 08009 | 2015-06-09 |
| 1821497520 | Joseph Cesarine | Emergency Medicine | 100 Townsend Aveniue, Berlin, NJ 08009 | 2014-08-19 |
| 1831443282 | Dedra Lombardi | Counselor | 16 Jason Drive, Berlin, NJ 08009 | 2012-11-07 |
| 1053620674 | Richard Nazer | Dentist | 339 North Route 73, Berlin, NJ 08009 | 2010-09-30 |
| 1134372329 | Caroline Rose Eisenberg | Dietitian, Registered | 127 Berlin Cross Keys Rd, Berlin, NJ 08009 | 2008-10-31 |
| 1720253743 | Terry L Fazio | Nurse Practitioner | 100 Townsend Rd, Bedin, NJ 08009 | 2008-04-30 |
| Find all providers in zip 08009 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750786505 | Autism Behavior Center | Community/Behavioral Health | 1 Whitney Rd, Berlin, MA 01503-1653 | 2014-10-22 |
| 1649524844 | Arc of Camden County, Inc. | Community/Behavioral Health | 215 W White Horse Pike, Berlin, NJ 08009-1132 | 2012-11-09 |
| 1740456656 | Women of Hope Resource Center, Inc | Community/Behavioral Health | 14 Estaugh Ave, Berlin, NJ 08009-1414 | 2008-05-01 |
| 1598889685 | Steininger Behavioral Care Services | Community/Behavioral Health | 128 Cross Keys Rd, Berlin, NJ 08009-9201 | 2007-03-16 |
| 1174147334 | Invigorate Psychotherapy LLC | Community/Behavioral Health | 314 New Britain Rd Ste C, Berlin, CT 06037-5306 | 2020-06-03 |
| 1033779327 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 1025 Main St, Berlin, PA 15530-1426 | 2019-06-18 |
| 1801359302 | Androscoggin Valley Hospital, Inc. | Community/Behavioral Health | 7 Page Hill Rd, Berlin, NH 03570-3531 | 2019-04-11 |
| 1366900219 | Weeks Medical Center | Community/Behavioral Health | 7 Page Hill Rd, Berlin, NH 03570-3531 | 2019-03-11 |
| 1396233474 | The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv | Community/Behavioral Health | 339 N Route 73, Berlin, NJ 08009-9707 | 2018-04-25 |
| 1265920466 | Legacy Treatment Serivces, Inc. | Community/Behavioral Health | 100 Townsend Ave, Berlin, NJ 08009-9011 | 2018-04-24 |
| Find all providers in BERLIN | ||||
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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.