Kaitlin T Voris, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00812600 Issued in NJ

Practice address

350 Sparta Ave Ste C2A
Sparta, NJ 07871-1123

Phone

(973) 903-2176

NPI assigned

Jan 7, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Lakeside Counseling Associates, LLC

  • Professional Counselor
  • Sparta, NJ
  • NPI 1578010674
  Medicare reassignment NPD

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1265193619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 COUNTY ROAD 521",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078604314",
            "telephone_number": "973-903-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE STE C2A",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711123",
            "telephone_number": "973-903-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORIS",
        "first_name": "KAITLIN",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00812600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Vaughn, ATR-BC, LCAT, LPAT
• Margarita Regina Vergara, DMD
• Vipal Inc. (Cameron Drugs)
• Visiting Nurse Association of Saint Clare's, Inc.
• John Vitolo, M.D.
• Zinal Vyas, DO
• Jennifer Waller, FNP
• Bernadette Marie Walsh, DNP, WHNP-BC
• Michael T Ward, D.M.D.
• Emily M Wargo, LPC

• Professional Counselor in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.