Sophia Kerkoulas

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

9202 Fieldstone Dr
Mount Arlington, NJ 07856-1463

Phone

(973) 876-8993

NPI assigned

Jun 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1497324677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 FIELDSTONE DR",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561463",
            "telephone_number": "973-876-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 FIELDSTONE DR",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561463",
            "telephone_number": "973-876-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERKOULAS",
        "first_name": "SOPHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A. Jarvis, RN
• Jeffrey H. Aroesty, M.D., P.C.
• Jennifer Johnson, LPC
• Kenneth Allen Kappy, M.D.
• Martin S Kartush, DDS
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• Patrick Lantzy, PHD
• Gregory P. Levine, L.P.C.
• Erin Christina Leyden, LSW

• Professional Counselor in Mount Arlington, NJ
• Providers in Mount Arlington, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.