| Acenda, Inc. | |
|
42 Delsea Dr S Glassboro NJ 08028-2621 | |
| (844) 422-3632 | |
| (856) 881-7614 |
| Full Name | Acenda, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 42 Delsea Dr S, Glassboro, New Jersey |
| Authorized Official Name and Position | Jeremy Wampler (TREASURER & CFO) |
| Authorized Official Contact | 8568818689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acenda, Inc. 42 Delsea Dr S Glassboro NJ 08028-2621 Ph: (844) 422-3632 | Acenda, Inc. 42 Delsea Dr S Glassboro NJ 08028-2621 Ph: (844) 422-3632 |
| NPI Number | 1982752333 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 07/14/2021 |
| Certification Date | 07/14/2021 |
| Medicare PECOS PAC ID | 0042290678 |
|---|---|
| Medicare Enrollment ID | O20040723000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982752333 | NPI | - | NPPES |
| 7307608 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 888880104 (New Jersey) | Primary |
| 1041C0700X | Social Worker - Clinical | 888880104 (New Jersey) | Secondary |
| Provider Name | Kyle M Stiffler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164577227 PECOS PAC ID: 3375500838 Enrollment ID: I20041216000027 |
| Provider Name | Jay Bellias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194721746 PECOS PAC ID: 4284692997 Enrollment ID: I20041228000838 |
| Provider Name | Elaine M Kunigonis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043345143 PECOS PAC ID: 5496794471 Enrollment ID: I20050428000896 |
| Provider Name | Heidi R Vidal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942367032 PECOS PAC ID: 0143269761 Enrollment ID: I20050503000220 |
| Provider Name | George Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487729141 PECOS PAC ID: 7113092271 Enrollment ID: I20080825000283 |
| Provider Name | Carolyn S Costella |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417085846 PECOS PAC ID: 6103989371 Enrollment ID: I20090114000280 |
| Provider Name | Gary L Ryver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497977615 PECOS PAC ID: 0941364731 Enrollment ID: I20090122000442 |
| Provider Name | Glenn D. Zielinski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457324303 PECOS PAC ID: 4981754173 Enrollment ID: I20090610000003 |
| Provider Name | Karen Marie Kaschak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013078906 PECOS PAC ID: 9931382223 Enrollment ID: I20110323001013 |
| Provider Name | Linda Gable-stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265675888 PECOS PAC ID: 1456523893 Enrollment ID: I20111007000449 |
| Provider Name | Lori B Elliot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821323395 PECOS PAC ID: 3274669775 Enrollment ID: I20111024000181 |
| Provider Name | Dawn M Nemeth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275807950 PECOS PAC ID: 5698936276 Enrollment ID: I20120406000222 |
| Provider Name | Melissa L Bailey Visconti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568510345 PECOS PAC ID: 1355502949 Enrollment ID: I20120406000313 |
| Provider Name | Nancy Schweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245387141 PECOS PAC ID: 3577704592 Enrollment ID: I20130802000072 |
| Provider Name | Brenda Camacho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821175134 PECOS PAC ID: 9638313737 Enrollment ID: I20130911000195 |
| Provider Name | Alexter R Mutia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407108582 PECOS PAC ID: 5294960142 Enrollment ID: I20131030001028 |
| Provider Name | Hilton J Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407946635 PECOS PAC ID: 6901803980 Enrollment ID: I20141204002030 |
| Provider Name | Beth Anagnostis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164651287 PECOS PAC ID: 2466741244 Enrollment ID: I20160518000387 |
| Provider Name | Anna M Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306367321 PECOS PAC ID: 3476813395 Enrollment ID: I20180214000051 |
| Provider Name | Jinal T Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710464110 PECOS PAC ID: 7416200514 Enrollment ID: I20181018002141 |
| Provider Name | Renee M Smallwood-thigpen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275910440 PECOS PAC ID: 5698029841 Enrollment ID: I20181107001373 |
| Provider Name | Brenda Pateman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801949862 PECOS PAC ID: 1456696913 Enrollment ID: I20190103000132 |
| Provider Name | Taylor K Herring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548709793 PECOS PAC ID: 1658793252 Enrollment ID: I20200629001869 |
| Provider Name | Shaina Tinsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306475959 PECOS PAC ID: 8123445079 Enrollment ID: I20200824003192 |
| Provider Name | Linda Benner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285268144 PECOS PAC ID: 5092132068 Enrollment ID: I20200824003570 |
| Provider Name | Kelly Winters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235745084 PECOS PAC ID: 6608296249 Enrollment ID: I20201020001205 |
| Provider Name | Christina Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053732602 PECOS PAC ID: 8426468141 Enrollment ID: I20201109003026 |
| Provider Name | Alysha Sokolov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023597432 PECOS PAC ID: 7113332859 Enrollment ID: I20210210002776 |
| Provider Name | Alexander Anthony Chianese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801567656 PECOS PAC ID: 0547659294 Enrollment ID: I20211118000088 |
| Provider Name | Leydi Fonseca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104449032 PECOS PAC ID: 1456741917 Enrollment ID: I20211124001556 |
| Provider Name | Jeremy D Staats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407596257 PECOS PAC ID: 9234526104 Enrollment ID: I20220422001293 |
| Provider Name | Fausat F Odubiyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881174654 PECOS PAC ID: 0749603496 Enrollment ID: I20220512000298 |
| Provider Name | Rachel L Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184172660 PECOS PAC ID: 9133408149 Enrollment ID: I20221110002230 |
| Provider Name | Brittani Hubbard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568005684 PECOS PAC ID: 5092148429 Enrollment ID: I20230322000288 |
| Provider Name | Tia R Layton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376944462 PECOS PAC ID: 1557582590 Enrollment ID: I20230426000712 |
| Provider Name | Mara Neville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144929563 PECOS PAC ID: 5092170555 Enrollment ID: I20230505000880 |
| Provider Name | Angela Bowen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588325013 PECOS PAC ID: 3274989298 Enrollment ID: I20231027001404 |
| Provider Name | William Higbee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568184067 PECOS PAC ID: 4587008750 Enrollment ID: I20240215001219 |
| Provider Name | Jennifer Kugler |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1578820148 PECOS PAC ID: 6608210786 Enrollment ID: I20240216000854 |
| Provider Name | Julianna M Kreusel |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1134632235 PECOS PAC ID: 1153765169 Enrollment ID: I20240220000573 |
| Provider Name | Desiree M Mazzarelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922593391 PECOS PAC ID: 6406294826 Enrollment ID: I20240404001902 |
| Provider Name | Jerniece J Saez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548610744 PECOS PAC ID: 2365880606 Enrollment ID: I20240404003249 |
| Provider Name | Melissa Bratlie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487061297 PECOS PAC ID: 8729426010 Enrollment ID: I20240405000572 |
| Provider Name | Jaclyn P Wasiluk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962046565 PECOS PAC ID: 2567802572 Enrollment ID: I20240424002243 |
Family Health And Wellness Opportunity Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W High St Ste B, Glassboro, NJ 08028 Phone: 856-422-9296 Fax: 856-422-9299 | |
Serenity Mental Health Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 S Poplar St Unit 218, Glassboro, NJ 08028 Phone: 856-347-2066 | |
J & H Healing Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Franklin Rd, Glassboro, NJ 08028 Phone: 609-636-6440 | |
Timothy Faith Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Stoneham Dr, Glassboro, NJ 08028 Phone: 609-970-4680 | |
Center For Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Delsea Dr S, Glassboro, NJ 08028 Phone: 856-881-5511 Fax: 856-881-5582 | |
By Original Design, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Smortz Ln, Glassboro, NJ 08028 Phone: 856-812-4116 | |
Twin Oaks Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Fish Pond Rd, Glassboro, NJ 08028 Phone: 609-267-5928 Fax: 609-267-3029 |