Active NPI
Kim Lee Hart, LCADC
- Professional Counselor
- Wall Township, NJ
National Provider Identifier
1043500200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00459300
- Practice address
- 1901 Hwy 71 Ste 3C
Wall Township, NJ 07719-3278 - Phone
- (732) 556-6290
- Fax
- (732) 556-6015
- NPI assigned
- Apr 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37LC00173200 | NJ | |
| Professional Counselor | 101YP2500X | 37PC00459300 | NJ | Primary |
Addresses
Primary practice location
1901 Hwy 71 Ste 3C
Wall Township, NJ 07719-3278
Mailing address
1901 Hwy 71 Ste 3C
Wall Township, NJ 07719-3278
Phone (732) 556-6290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00173200 | NJ | MD | Mental Health Counselor |
| 37PC00459300 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1043500200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 HWY 71 STE 3C",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077193278",
"telephone_number": "732-556-6290",
"fax_number": "732-556-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 HWY 71 STE 3C",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077193278",
"telephone_number": "732-556-6290",
"fax_number": "732-556-6015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "KIM",
"middle_name": "LEE",
"credential": "LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37LC00173200",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00459300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wall Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.