Active NPI
Kathryn Barra, LPC
- Professional Counselor
- Cedar Knolls, NJ
National Provider Identifier
1114304276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00637500
- Practice address
- 100 E Hanover Ave Ste 401B
Cedar Knolls, NJ 07927-2020 - Phone
- (908) 376-6187
- NPI assigned
- Apr 28, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00637500 | NJ | Primary |
| Counselor | 101Y00000X | 37AC00209300 | NJ |
Addresses
Primary practice location
100 E Hanover Ave Ste 401B
Cedar Knolls, NJ 07927-2020
Mailing address
100 E Hanover Ave Ste 401B
Cedar Knolls, NJ 07927-2020
Phone (908) 376-6187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37AC00209300 | Other | NJ | 37AC00209300 |
Other names 1
- Kathryn Doster
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 |
|---|---|---|---|
| 37AC00209300 | NJ | MD | Counselor |
| 37PC00637500 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685836800000",
"number": "1114304276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E HANOVER AVE STE 401B",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079272020",
"telephone_number": "908-376-6187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E HANOVER AVE STE 401B",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079272020",
"telephone_number": "908-376-6187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRA",
"first_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-28",
"last_updated": "2023-06-04",
"certification_date": "2023-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00637500",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00209300",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "37AC00209300",
"identifier": "37AC00209300",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "DOSTER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cedar Knolls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.