Individual provider Active NPI

Kathryn Barra, LPC

  • Professional Counselor
  • Cedar Knolls, NJ
National Provider Identifier
1114304276
Registry record updated Jun 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00637500 Issued in NJ
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

Updated by the provider on Jun 4, 2023

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 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

IdentifierTypeStateIssuer
37AC00209300OtherNJ37AC00209300

Other names 1

  • Kathryn Doster 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
37AC00209300NJMDCounselor
37PC00637500NJMDProfessional 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.

Verify at the official NPI Registry.