George Koren, M.ED., LPC, LCADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00065800 Issued in NJ

Practice address

754 Quail PL
Deptford, NJ 08096-6213

Phone

(856) 352-5455

NPI assigned

Dec 3, 2007

Last updated

Nov 15, 2020By the provider in NPPES

Sex

Male

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

Credentials

Master of Education

State licenses

Practice roles

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.

• Covenant Counseling

  • Professional Counselor
  • Sewell, NJ
  • NPI 1134257595
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1568644474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 QUAIL PL",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080966213",
            "telephone_number": "856-352-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 QUAIL PL",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080966213",
            "telephone_number": "856-352-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOREN",
        "first_name": "GEORGE",
        "credential": "M.ED., LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00065800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsch Associates Inc. New Jersey
• Mustajab Khalil, DMD
• Aliya Khan, DDS
• Martin A Kitagawa, O.D.
• Stuart Leslie Knauer, RPH
• Jeffrey Koslow, D.M.D.
• Fabiana Maria Kreines, MD
• Danielle Lamantia
• Lisa Marcela Lanza Lopez, RDN, MPH, PHD
• Maryann Laudati, M.D.

• Professional Counselor in Deptford, NJ
• Providers in Deptford, 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 Nov 15, 2020; 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.