Kevin Michael Enright, PHD, LPC

Individual provider Active NPI Mental Health Counselor · Bound Brook, NJ

NPI 1609949239 · NPPES record last updated Apr 14, 2020

Key facts

NPI
1609949239
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
PC 0187300 (NJ)
Practice address
305 East High Street, Suite 5
Bound Brook, NJ 08805
Phone
(908) 342-4056
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PC 0187300NJMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC 0187300 NJ Yes

Addresses

Primary practice location

305 East High Street, Suite 5
Bound Brook, NJ 08805

Mailing address

305 East High Street, Suite 5
Bound Brook, NJ, NJ 08805
Phone (908) 342-4056

Other providers in Bound Brook, NJ

All providers in Bound Brook, NJ · Mental Health Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.