Organization Active NPI

Kimberly Schaffer, LLC

  • Clinical Social Worker
  • Hackettstown, NJ
National Provider Identifier
1174175772
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KIMBERLY SCHAFFER, LLC
Practice address
1 Edgeview Dr Ste 2B
Hackettstown, NJ 07840-4003
Phone
(908) 246-1480
NPI assigned
Jul 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
Kimberly Anne Schaffer, LCSWNPI 1285783886
Title
President
Phone
(908) 246-1480

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1 Edgeview Dr Ste 2B
Hackettstown, NJ 07840-4003

Mailing address

1 Edgeview Dr Ste 2B
Hackettstown, NJ 07840-4003
Phone (908) 246-1480

Other names 1

  • Attentive Psychotherapy & Counseling Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly@attentivepsychotherapy.com Direct

National Provider Directory

National Provider Directory

Locations

121 Shelley Dr
Ste 2B
Hackettstown, NJ 07840

1 Edgeview Dr
Hackettstown, NJ 07840

1 Edgeview Dr
Ste 2B
Hackettstown, NJ 07840
Phone (908) 224-0838

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1174175772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEVIEW DR STE 2B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404003",
            "telephone_number": "908-246-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDGEVIEW DR STE 2B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404003",
            "telephone_number": "908-246-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY SCHAFFER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-246-1480",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly@attentivepsychotherapy.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1 Edgeview Dr Ste 2B",
            "city": "Hackettstown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078404003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Attentive Psychotherapy & Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Attentive Psychotherapy & Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.