Kristin Korab-Reynolds LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SCO5302900 Issued in NJ

Legal business name

KRISTIN KORAB-REYNOLDS LLC

Practice address

303 Claremont Ave FL 2
Montclair, NJ 07042-2813

Phone

(201) 591-5371

Fax

(973) 638-1829

NPI assigned

Oct 13, 2017

Organization subpart

No

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

Authorized official

Name

Kristin Korab-Reynolds, LCSWNPI 1083791735

Title

LCSW

Phone

(201) 591-5371

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Kristin Korab Reynolds, LCSW, LCADC

  • Clinical Social Worker
  • Montclair, NJ
  • NPI 1083791735
  Medicare reassignment NPD Authorized official
• Maria A Santiago, LCSW

  • Clinical Social Worker
  • Elizabeth, NJ
  • NPI 1447731005
  NPD (past)
• Alejandra Schraier

  • Clinical Social Worker
  • Montclair, NJ
  • NPI 1538454285
  NPD (past)

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1316458698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 656",
            "city": "ESSEX FELLS",
            "state": "NJ",
            "postal_code": "070210656",
            "telephone_number": "201-591-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 CLAREMONT AVE FL 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422813",
            "telephone_number": "201-591-5371",
            "fax_number": "973-638-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN KORAB-REYNOLDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "KORAB-REYNOLDS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "201-591-5371",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SCO5302900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0613801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ljiljana Kovacevic, CRNA
• Jennifer Kowal, IBCLC
• Sari Kramer, PHD
• Kreative Therapy
• Brielle Korin Krel
• Edward Todd Krupp, D.O.
• Samantha Cecilia Krych, OTD
• Alicja Krzych-Klauber, LCSW
• Kula Wellness LLC
• David Kwon, DPT

• Mental Health Counselor in Montclair, NJ
• Providers in Montclair, 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 Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.