Kim Class, LPC

Individual provider Active NPI Professional Counselor · Bayville, NJ

NPI 1487095477 · NPPES record last updated Oct 29, 2014

Key facts

NPI
1487095477
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
37PC00506200 (NJ)
Practice address
160 Route 9
Bayville, NJ 08721-1229
Phone
(732) 349-5550
Fax
(732) 349-6702
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Mental Health Services Inc (35 clinicians)

Practice addresses (Care Compare)

160 Route 9
Bayville, NJ 08721-1229
Phone 7323491977128

40 Bey Lea Rd
BLDG a
Toms River, NJ 08753-2989
Phone 7323495550128

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
37PC00506200NJMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00506200 NJ Yes

Addresses

Primary practice location

160 Route 9
Bayville, NJ 08721-1229

Mailing address

160 Route 9
Bayville, NJ 08721-1229
Phone (732) 349-5550

Other providers in Bayville, NJ

All providers in Bayville, NJ · Professional Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.