Individual provider Active NPI

Nina Kaufmans, LPC

  • Mental Health Counselor
  • Skillman, NJ
National Provider Identifier
1053611517
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00245900 Issued in NJ
Practice address
152 Tamarack Cir
Skillman, NJ 08558-2021
Phone
(609) 436-0169
NPI assigned
Oct 29, 2010
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00245900 NJ Primary

Addresses

Primary practice location

152 Tamarack Cir
Skillman, NJ 08558-2021

Mailing address

152 Tamarack Cir
Skillman, NJ 08558-2021
Phone (917) 749-5156

Other identifiers 1

IdentifierTypeStateIssuer
103850000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927000446 NJ Practitioner - Mental Health Counselor 8022558378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Safe Therapy IncGroup PAC ID 5395278154, 2 clinicians
Safe Place Counseling and Therapy CenterGroup PAC ID 6204376544, 7 clinicians

Practice addresses (Care Compare)

152 Tamarack Cir
Skillman, NJ 08558-2021
Phone (609) 359-2266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00245900NJMDMental Health Counselor
37PC00674300NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Place Counseling and Therapy Center Mental Health CurrentSince May 1, 2019 Accepting new patients
Safe Therapy, Inc. Mental Health CurrentSince Sep 1, 2022 Accepting new patients

Locations

44 Nassau St
Ste 365
Princeton, NJ 08542
Phone (609) 436-0169

152 Tamarack Cir
Skillman, NJ 08558
Phone (609) 359-2266

39 Tamarack Cir
Skillman, NJ 08558
Phone (609) 203-0583

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1053611517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 TAMARACK CIR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582021",
            "telephone_number": "917-749-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 TAMARACK CIR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582021",
            "telephone_number": "609-436-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMANS",
        "first_name": "NINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00245900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103850000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

Verify at the official NPI Registry.