Organization Active NPI

Kristin Birchenough, LPC, LLC

  • Professional Counselor
  • Westwood, NJ
National Provider Identifier
1164874053
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00476400 Issued in NJ
Legal business name
KRISTIN BIRCHENOUGH, LPC, LLC
Practice address
192 3Rd Ave
Suite 8C
Westwood, NJ 07675-2154
Phone
(291) 873-9399
Fax
(201) 561-9504
NPI assigned
Jul 5, 2016
Last updated
Jul 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Kristin Birchenough, LPCNPI 1740615103
Title
LPC
Phone
(201) 873-9399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00476400 NJ Primary

Addresses

Primary practice location

192 3Rd Ave
Suite 8C
Westwood, NJ 07675-2154

Mailing address

192 3Rd Ave
Suite 8C
Westwood, NJ 07675-2154
Phone (291) 873-9399

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1164874053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 3RD AVE",
            "address_2": "SUITE 8C",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752154",
            "telephone_number": "291-873-9399",
            "fax_number": "201-561-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 3RD AVE",
            "address_2": "SUITE 8C",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752154",
            "telephone_number": "291-873-9399",
            "fax_number": "201-561-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN BIRCHENOUGH, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "BIRCHENOUGH",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "201-873-9399",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00476400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.