Kimberly Geremia

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00769000 Issued in NJ

Practice address

423 Barnsboro Rd
Sewell, NJ 08080-4507

Phone

(856) 472-0102

NPI assigned

Jan 29, 2024

Last updated

Jan 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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

• Mainstay Center for Counseling LLC

  • Mental Health Counselor
  • Williamstown, NJ
  • NPI 1881265478
  NPD

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1487416194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2956 NICOLETTE CT",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083601675",
            "telephone_number": "856-472-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 BARNSBORO RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804507",
            "telephone_number": "856-472-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEREMIA",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00769000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Richard Gasparovic Jr., DC
• Generace Group LLC
• Genoa Healthcare LLC
• Genova Chiropractic Center,PC
• Charles John Genova, DC,CCSP
• Kristen Gerrone, PHARM D
• Jenna Delaney Gervasi
• Candace Michelle Ghaul, CRNA
• Victoria Lynn Giaquinto, OTR/L
• Amanda Gibbs, MSW, LSW

• Mental Health Counselor in Sewell, NJ
• Providers in Sewell, 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 Jan 29, 2024; 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.