Active NPI
Kamenie Dookwah, LPC, LCADC, NCC
- Professional Counselor
- Bayonne, NJ
National Provider Identifier
1427624964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00894000
- Practice address
- 995 Broadway
Bayonne, NJ 07002-4040 - Phone
- (201) 779-0856
- NPI assigned
- Jun 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00894000 | NJ | |
| Professional Counselor | 101YP2500X | 37PC00894000 | NJ | Primary |
| Counselor | 101Y00000X | 37AC00478500 | NJ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00364800 | NJ |
Addresses
Primary practice location
995 Broadway
Bayonne, NJ 07002-4040
Mailing address
995 Broadway
Bayonne, NJ 07002-4040
Phone (201) 779-0856
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OtherURL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00478500 | NJ | MD | Counselor |
| 37LC00364800 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 37PC00894000 | NJ | MD | Mental Health Counselor |
Interoperability endpoints
- kamenie.dookwah.p1@direct.valerahealth.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1427624964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024040",
"telephone_number": "201-779-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024040",
"telephone_number": "201-779-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOKWAH",
"first_name": "KAMENIE",
"credential": "LPC, LCADC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00894000",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00894000",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00478500",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00364800",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OtherURL",
"affiliation": "N",
"address_1": "15 E 25th St Apt 314",
"city": "Bayonne",
"state": "NJ",
"country_code": "US",
"postal_code": "070024661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.