Kedesh Counsling Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KEDESH COUNSLING CENTER

Practice address

2725 N Delsea Dr
Vineland, NJ 08360-2184

Phone

(856) 696-4380

Fax

(856) 696-0974

NPI assigned

Sep 19, 2014

Organization subpart

No

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

Authorized official

Name

Abbey Bradway, MSLPC,ACS

Title

Owner/Counselor

Phone

(856) 696-5690

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1124420302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 E CHESTNUT AVE",
            "address_2": "SUITE D-4",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618400",
            "telephone_number": "856-696-4380",
            "fax_number": "856-696-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 N DELSEA DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083602184",
            "telephone_number": "856-696-4380",
            "fax_number": "856-696-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEDESH COUNSLING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "BRADWAY",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "856-696-5690",
        "authorized_official_credential": "MSLPC,ACS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manvir Kaur, M.B.B.S
• Sultan Kaur
• Raghava Shree Kavalla, MD
• Najam Kazmi, MD
• Surayya Kazmi, MD
• Brian L Kelley, RPH
• Brynn Kelley
• Jessica Kelley, APN, FNP-BC
• Taylor Kemery, DNP, CPNP-PC
• Beth Kennedy, LPN

• All providers in Vineland, NJ
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.