Kimberly Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00507300 Issued in NJ

Practice address

190 Highway 18 Ste 304
East Brunswick, NJ 08816-1407

Phone

(732) 354-0623

NPI assigned

Sep 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Freeman'S Place Counseling

  • Professional Counselor
  • East Brunswick, NJ
  • NPI 1871949214
  NPD

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1194496604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HIGHWAY 18 STE 304",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 HIGHWAY 18 STE 304",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161407",
            "telephone_number": "732-354-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00507300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanika Jethani, DPT
• Jewish Family Service of Southern Middlesex County
• Girish Jha
• Oluwadamilola Jinadu, M.A., LAC
• Sandor A. Joffe, MD
• Latanya Johnson, LSW, LCADC
• Kaitlyn Jones, DC, ATC
• Harsha Jonna, MD
• Catherine E Jordan, ANP-BC
• Joseph P. Arno, M.D.

• Mental Health Counselor in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.