Organization Active NPI

My Therapist LLC

Doing business as Kayla Dukess, LCSW

  • Clinical Social Worker
  • Jackson, NJ
National Provider Identifier
1396414181
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MY THERAPIST LLC
Doing business as
Kayla Dukess, LCSW
Practice address
19 N County Line Rd Ste 16
Jackson, NJ 08527-1466
Phone
(732) 510-3641
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Kayla Dukess
Title
Owner
Phone
(732) 510-3641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

19 N County Line Rd Ste 16
Jackson, NJ 08527-1466

Mailing address

1541 10TH Ave
Toms River, NJ 08757-2839
Phone (732) 510-3641

Other names 1

  • Kayla Dukess, LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

19 N County Line Rd
Ste 16
Jackson, NJ 08527
Phone (732) 510-3641

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1396414181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 10TH AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087572839",
            "telephone_number": "732-510-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N COUNTY LINE RD STE 16",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271466",
            "telephone_number": "732-510-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "DUKESS",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-510-3641"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kayla Dukess, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.