Organization Active NPI

Kindman Therapy Associates, LLC

  • Clinical Social Worker
  • Ocean, NJ
National Provider Identifier
1336678549
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01391100 Issued in NJ
Legal business name
KINDMAN THERAPY ASSOCIATES, LLC
Practice address
3331 Sunset Ave
Ocean, NJ 07712-4554
Phone
(732) 807-5166
Fax
(732) 455-8248
NPI assigned
Jun 9, 2017
Last updated
Apr 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Hillary Kindman, LCSWNPI 1588117246
Title
Owner
Phone
(732) 807-5166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC01391100 NJ Primary

Addresses

Primary practice location

3331 Sunset Ave
Ocean, NJ 07712-4554

Mailing address

510 Deal Lake Dr Apt 12H
Asbury Park, NJ 07712-5176
Phone (917) 362-0042

Other practice location 1

510 Deal Lake Dr Apt 12H
Asbury Park, NJ 07712-5176
Phone (917) 362-0042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170822000532 NJ Part B Supplier - Clinic/Group Practice 3779855051 Receives reassigned benefits from 1 practitioner
Practice locations: Ocean, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1336678549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DEAL LAKE DR APT 12H",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125176",
            "telephone_number": "19173620042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 SUNSET AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124554",
            "telephone_number": "732-807-5166",
            "fax_number": "732-455-8248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Deal Lake Dr Apt 12H",
            "address_purpose": "LOCATION",
            "city": "Asbury Park",
            "state": "NJ",
            "postal_code": "077125176",
            "country_code": "US",
            "telephone_number": "19173620042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINDMAN THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "KINDMAN",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-807-5166",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01391100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.