Caroline Eberechi Konkwo Jr., MENTAL HEALTH COUNSE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

121 Newark Ave Ste 503
Jersey City, NJ 07302-5873

Phone

(646) 204-2295

NPI assigned

Jun 3, 2021

Last updated

Jun 3, 2021By 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 1

Addresses

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1447826995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 PARK AVE APT 13E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065261",
            "telephone_number": "347-353-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NEWARK AVE STE 503",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025873",
            "telephone_number": "646-204-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONKWO",
        "first_name": "CAROLINE",
        "middle_name": "EBERECHI",
        "name_prefix": "Ms.",
        "name_suffix": "Jr.",
        "credential": "MENTAL HEALTH COUNSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sai Samba Krishna R. Kolla, M.D.
• Vamsi K Kolli
• Ana Miguel Komotar, MD
• Nguessan Pelagie Konan, LPN
• Fady Konds
• Tara Jean Konradi, OTD, OTR/L
• Funda Korkmaz, MD
• Lori Korsakoff, APN
• Berke Cenktug Korucu, M.D.
• Masoom Hitesh Kotecha

• Mental Health Counselor in Jersey City, NJ
• Providers in Jersey City, 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 3, 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.