Individual provider Active NPI

Kimberlee June Karpack, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Mountain Lakes, NJ
National Provider Identifier
1417004532
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00023300 Issued in NJ
Practice address
420 Boulevard Ste 208
Mountain Lakes, NJ 07046-1733
Phone
(973) 634-3719
Fax
(973) 299-1960
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00023300 NJ Primary
Professional Counselor 101YP2500X 37PC00288000 NJ

Addresses

Primary practice location

420 Boulevard Ste 208
Mountain Lakes, NJ 07046-1733

Mailing address

420 Boulevard Ste 208
Mountain Lakes, NJ 07046-1733
Phone (973) 634-3719

Other identifiers 1

IdentifierTypeStateIssuer
7846535OtherNJAETNA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923000640 NJ Practitioner - Mental Health Counselor 9032559034 Practice locations: Denville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

76 Broadway
Denville, NJ 07834-2739
Phone (973) 634-3719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00288000NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417004532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 BOULEVARD STE 208",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461733",
            "telephone_number": "973-634-3719",
            "fax_number": "973-299-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BOULEVARD STE 208",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461733",
            "telephone_number": "973-634-3719",
            "fax_number": "973-299-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARPACK",
        "first_name": "KIMBERLEE",
        "middle_name": "JUNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00023300",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00288000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7846535",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

Verify at the official NPI Registry.