Active NPI
My Therapist LLC
Doing business as Kayla Dukess, LCSW
- Clinical Social Worker
- Jackson, NJ
National Provider Identifier
1396414181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Jackson, NJ
- NPI 1396115770
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.