Active NPI
Kathleen Aveno, LPC
- Professional Counselor
- Montclair, NJ
National Provider Identifier
1104125558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00420600
- Practice address
- 70 S Fullerton Ave
Apt J2
Montclair, NJ 07042-2633 - Phone
- (973) 476-6244
- NPI assigned
- Mar 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00420600 | NJ | Primary |
Addresses
Primary practice location
70 S Fullerton Ave
Apt J2
Montclair, NJ 07042-2633
Mailing address
70 S Fullerton Ave
Apt J2
Montclair, NJ 07042-2633
Phone (973) 476-6244
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 |
|---|---|---|---|
| 37PC00420600 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1104125558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 S FULLERTON AVE",
"address_2": "APT J2",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422633",
"telephone_number": "973-476-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 S FULLERTON AVE",
"address_2": "APT J2",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422633",
"telephone_number": "973-476-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVENO",
"first_name": "KATHLEEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00420600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.