Individual provider Active NPI

Kimberly Brucale, LPC

  • Professional Counselor
  • North Arlington, NJ
National Provider Identifier
1356633580
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00417400 Issued in NJ
Practice address
47 Forest St
1St Floor
North Arlington, NJ 07031-6529
Phone
(973) 652-5351
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00417400 NJ Primary

Addresses

Primary practice location

47 Forest St
1St Floor
North Arlington, NJ 07031-6529

Mailing address

47 Forest St
1St Floor
North Arlington, NJ 07031-6529
Phone (973) 652-5351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00417400NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1356633580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 FOREST ST",
            "address_2": "1ST FLOOR",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316529",
            "telephone_number": "973-652-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 FOREST ST",
            "address_2": "1ST FLOOR",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316529",
            "telephone_number": "973-652-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCALE",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00417400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Arlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.