Kimberly Iwu, LCADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2001 Rte 37 E
Toms River, NJ 08753-7168

Phone

(848) 288-6680

NPI assigned

Dec 18, 2017

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1407362155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4172 SPANISH BAY DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402325",
            "telephone_number": "609-667-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 RTE 37 E",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537168",
            "telephone_number": "848-288-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWU",
        "first_name": "KIMBERLY",
        "credential": "LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00389800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Iuliano, OD
• Aldo Iulo, M.D.
• Karen Iverson, RN
• Anissa Ivery, LPC
• Ivyrehab Network, Inc.
• Rajesh V Iyer, MD
• Abdalmajeed Iyoun, MD
• J Smith Life Solutions, LLC
• J.W. Dental Associates LLC
• Jack Gold Surgical Appliances, Inc. (AlliedOP, Inc.)

• Mental Health Counselor in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.