Beatrice Renata Keseru, L.A.C.
Individual provider Active NPI Counselor · Upper Montclair, NJ
NPI 1114280864 · NPPES record last updated Jun 18, 2012
Key facts
- NPI
- 1114280864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 37AC00103600 (NJ)
- Practice address
- 543 Valley Rd
Suite 7
Upper Montclair, NJ 07043-1881 - Phone
- (908) 616-5796
- NPI assigned
- Jun 18, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00103600 | NJ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Therapy Institute New Jersey | Counselor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37AC00103600 | NJ | Yes |
Addresses
Primary practice location
543 Valley Rd
Suite 7
Upper Montclair, NJ 07043-1881
Mailing address
1514 Ravens Crest Dr E
Plainsboro, NJ 08536-2470
Phone (862) 220-2644
Other providers in Upper Montclair, NJ
- Jennifer Malec, MSW LCSW CCS Therapist
- Linda Ellen Jones
- Mary Kalazan
- Kathleen Little Psychotherapy LLC
- Sara Keating
- Kinder Smile Foundation
- Branka Kurta
- Sabine Labonne
- Michelle Lago
- Laurence Rosen LCSW LLC
All providers in Upper Montclair, NJ · Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.