Savannah Lee Kang, MA, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00789500 Issued in NJ

Practice address

6 Cornwall CT Ste B
East Brunswick, NJ 08816-3347

Phone

(732) 955-4141

NPI assigned

Sep 28, 2021

Last updated

Sep 28, 2021By the provider in NPPES

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vimax LLCGroup PAC ID 7416273644, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vimax LLC

  dba Positive Reset Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colts Neck, NJ
  • NPI 1922440627
  Medicare reassignment Care Compare group NPD
• Vimax LLC

  dba Positive Reset Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • East Brunswick, NJ
  • NPI 1710504881
  NPD

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1326719402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1054",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070957054",
            "telephone_number": "908-487-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CORNWALL CT STE B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163347",
            "telephone_number": "732-955-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "SAVANNAH",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00789500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Kallich, MD
• Amit Kalra, M.D.
• Breann Kamara, LCSW
• Praveena Kandula, MD
• Jiyoon Kang, DO
• Ghazal Kango, M.D.
• Kenneth A Kaplan, MD
• Murray C Kaplan, M.D.
• Anjali Kapur, MD
• Steven Karanikolas, M.D.

• Professional Counselor in East Brunswick, NJ
• Providers in East Brunswick, 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 Sep 28, 2021; 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.