Individual provider Active NPI

Kenia Artis, MSW, CADC, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Cherry Hill, NJ
National Provider Identifier
1063701910
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37CA00071000 Issued in NJ
Practice address
499 Cooper Landing Rd
Cherry Hill, NJ 08002-2504
Phone
(856) 428-4357
Fax
(856) 665-5193
NPI assigned
Mar 31, 2011
Last updated
Mar 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37CA00071000 NJ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17340 NY

Addresses

Primary practice location

499 Cooper Landing Rd
Cherry Hill, NJ 08002-2504

Mailing address

19 E Ormond Ave
Cherry Hill, NJ 08034-2053
Phone (856) 428-1300

Other names 1

  • Ms. Kenia Vidal Former name

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

LicenseStateTypeSpecialty
37CA00071000NJMDAddiction (Substance Use Disorder) Counselor
17340NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1063701910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E ORMOND AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342053",
            "telephone_number": "856-428-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 COOPER LANDING RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022504",
            "telephone_number": "856-428-4357",
            "fax_number": "856-665-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTIS",
        "first_name": "KENIA",
        "name_prefix": "Mrs.",
        "credential": "MSW, CADC, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37CA00071000",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "17340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENIA",
            "last_name": "VIDAL",
            "prefix": "MS.",
            "credential": "MSW, CADC, CASAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.