Individual provider Active NPI

Rae Ann Kingerski, NCC, LPC

  • Professional Counselor
  • Lakewood, NJ
National Provider Identifier
1063039147
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014881 Issued in PA
Practice address
1000 Airport Rd Ste 205
Lakewood, NJ 08701-5960
Phone
(866) 625-4740
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC014881 PA Primary
Mental Health Counselor 101YM0800X PC014881 PA

Addresses

Primary practice location

1000 Airport Rd Ste 205
Lakewood, NJ 08701-5960

Mailing address

1001 3Rd St
Baden, PA 15005-1301

Other practice location 1

1000 Commerce Dr Ste 1008
Moon Township, PA 15108-4739
Phone (253) 254-5911

Other practice location 2

100 McKnight Park Drive
Unit 103
Pittsburgh, PA 15237
Phone (724) 825-5570

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC014881PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1063039147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 3RD ST",
            "city": "BADEN",
            "state": "PA",
            "postal_code": "150051301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 AIRPORT RD STE 205",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015960",
            "telephone_number": "866-625-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Commerce Dr Ste 1008",
            "address_purpose": "LOCATION",
            "city": "Moon Township",
            "state": "PA",
            "postal_code": "151084739",
            "country_code": "US",
            "telephone_number": "253-254-5911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 McKnight Park Drive",
            "address_2": "Unit 103",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15237",
            "country_code": "US",
            "telephone_number": "724-825-5570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINGERSKI",
        "first_name": "RAE",
        "middle_name": "ANN",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014881",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC014881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.