Clifford M Koblin, LPC, LCADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC000336400 Issued in NJ

Practice address

4475 Route 27
Kingston, NJ 08528-9601

Phone

(609) 252-1152

NPI assigned

Apr 9, 2007

Last updated

Oct 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1396868071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SPRING HILL RD",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085581418",
            "telephone_number": "609-333-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 ROUTE 27",
            "city": "KINGSTON",
            "state": "NJ",
            "postal_code": "085289601",
            "telephone_number": "609-252-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBLIN",
        "first_name": "CLIFFORD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00090100",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC000336400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Todd E Stevens, D.P.M.

• Professional Counselor in Kingston, NJ
• Providers in Kingston, 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 Oct 20, 2009; 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.