Kathleen Mann, LPC/LCADC., CCS
Individual provider Active NPI Professional Counselor · Ocean City, NJ
NPI 1265945372 · NPPES record last updated Jun 15, 2025
Key facts
- NPI
- 1265945372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 37PC01143100 (NJ)
- Practice address
- 625 Laurel Rd
Ocean City, NJ 08226-4538 - Phone
- (609) 846-4275
- Fax
- (609) 846-4275
- NPI assigned
- Nov 10, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Acenda, Inc.
Practice addresses (Care Compare)
42 Delsea Dr S
Glassboro, NJ 08028-2621
Phone (844) 422-3632
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250708004640 | NJ | Practitioner - Mental Health Counselor | 4284148610 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00368000 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acenda, Inc. | Mental Health | Current |
Accepting new patients |
Locations
42 Delsea Dr S
Glassboro, NJ 08028
Phone (856) 863-0006
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC01143100 | NJ | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00368000 | NJ |
Addresses
Primary practice location
625 Laurel Rd
Ocean City, NJ 08226-4538
Mailing address
625 Laurel Rd
Ocean City, NJ 08226-4538
Phone (609) 846-4275
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37PC01143100 | Medicaid | NJ | |
| 37LC00368000 | Medicaid | NJ |
Other names
- Kathy Mann
Other providers in Ocean City, NJ
- Beth Kurtz
- James D Lavis
- Karen Leonard
- Wayne Heister Lutz
- Dara Macwilliams
- Joseph Rocco Marino
- Kristen L Mazzitelli
- Jaclyn McAleer
- Nancy McDevitt
- Megan Mahon McQuarrie
All providers in Ocean City, NJ · Professional Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.