Katie Lynne Defrank, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

12 Oklahoma Ave
Montville, NJ 07045

Phone

(973) 543-5656

Fax

(973) 543-1361

NPI assigned

Mar 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Lynne Gardner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1417373671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OKLAHOMA AVE",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "07045",
            "telephone_number": "973-543-5656",
            "fax_number": "973-543-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 OKLAHOMA AVE",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "07045",
            "telephone_number": "973-543-5656",
            "fax_number": "973-543-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANK",
        "first_name": "KATIE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "GARDNER",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana D'Amato, PT, DPT
• Alyssa D'Amico, RDN
• Joseph D'Introno
• Kamala Das, MD
• Michele A. De Vito, NCTMB, LMT
• Elaine Delrio-Fano, DC
• Mary Ann Derosa, PH.D.
• Developmental Disability Awareness With Love (Ddawl)
• Michele J Dimaira, D.M.D., M.S.
• Jill Lauren Dolinko, PT, DPT

• Addiction (Substance Use Disorder) Counselor in Montville, NJ
• Providers in Montville, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.