MRS. GWENDOLYN FAYE TIMBERMAN (MA LPC) – Marriage & Family Therapist, NPI 1154737179

MRS. GWENDOLYN FAYE TIMBERMAN (MA LPC) is a healthcare provider. based in Turnersville, New Jersey. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA LPC. They hold a License No. 37PC00438300 (NJ). The NPI Number for MRS. GWENDOLYN FAYE TIMBERMAN (MA LPC) is 1154737179

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. GWENDOLYN FAYE TIMBERMAN (MA LPC)
NPI
1154737179
Phone
(215) 290-8484
Address
901 ROUTE 168 STE 103
Enumeration Date
10 July 2014
Last Update Date
20 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8562664983
Graduation Year
2008 (18 years ago)
PAC ID
4082158878
Group Practice PAC ID
6709191059
Professional Enrollment ID
I20240703003298
Address ID
NJ080123200TU901XX103X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,093 MENTAL HEALTH COUNSELOR in NJ

Provider Addresses for MRS. GWENDOLYN FAYE TIMBERMAN (MA LPC)

  • 901 ROUTE 168 STE 103

    TURNERSVILLE, NJ 080123200

    Phone: (215) 290-8484

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240703003298IMental Health CounselorNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709191059View full group profile
NameSpecialtyState
Clinical Social WorkerNJ
Clinical Social WorkerNJ
-NJ
Mental Health CounselorNJ
Clinical Social WorkerPA
Mental Health CounselorNJ
Mental Health CounselorNJ
Mental Health CounselorNJ
Clinical Social WorkerPA
Mental Health CounselorNJ

Reviews

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Frequently asked questions

Is MRS. GWENDOLYN FAYE TIMBERMAN (MA LPC) listed with a National Provider Identifier?
Yes — MRS. GWENDOLYN FAYE TIMBERMAN (MA LPC) has NPI 1154737179 on file in the registry.
Would MRS. GWENDOLYN FAYE TIMBERMAN (MA LPC) appear as active to a payer?
You can treat MRS. GWENDOLYN FAYE TIMBERMAN (MA LPC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. GWENDOLYN FAYE TIMBERMAN (MA LPC)?
MRS. GWENDOLYN FAYE TIMBERMAN (MA LPC) is associated with Marriage & Family Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in New Jersey is MRS. GWENDOLYN FAYE TIMBERMAN (MA LPC) registered?
Use Turnersville, New Jersey as the headline location for MRS. GWENDOLYN FAYE TIMBERMAN (MA LPC) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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