Individual provider Active NPI

Kimberly Coelho-Vera, LPC

  • Counselor
  • Newark, NJ
National Provider Identifier
1497307292
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC00673100 Issued in NJ
Practice address
290 Chestnut St Ste 206
Newark, NJ 07105-6524
Phone
(201) 362-7036
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC00673100 NJ Primary

Addresses

Primary practice location

290 Chestnut St Ste 206
Newark, NJ 07105-6524

Mailing address

39 Spring Rd
Livingston, NJ 07039-2717
Phone (201) 362-7036

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

LicenseStateTypeSpecialty
37PC00673100NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
K M Coelhovera Eds LPC Counselor CurrentSince Jul 25, 2019 Accepting new patients

Locations

290 Chestnut St
Ste 206
Newark, NJ 07105
Phone (201) 362-7036

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.

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1497307292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SPRING RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392717",
            "telephone_number": "201-362-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CHESTNUT ST STE 206",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071056524",
            "telephone_number": "201-362-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COELHO-VERA",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00673100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.