Kathleen Pete, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00519200 Issued in NJ

Practice address

One Franklin Avenue
Nutley, NJ 07110

Phone

(973) 284-7224

NPI assigned

Apr 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Krista Santos, LCSW LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nutley, NJ
  • NPI 1073001830
  NPD (past)
• Michael & Lori Ippolito

  • Clinical Social Worker
  • Belleville, NJ
  • NPI 1356613079
  NPD (past)

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1619233210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 VREELAND AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101544",
            "telephone_number": "973-980-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE FRANKLIN AVENUE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "973-284-7224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Claremont Ave",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070422813",
            "country_code": "US",
            "telephone_number": "973-284-7224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETE",
        "first_name": "KATHLEEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00110000",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00519200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenia Peralta, CCC-SLP
• Gregory Carl Perez, D.M.D.
• Jennifer Perez, LPC
• Periollp
• Pet/CT Center of New Jersey
• Caitlin Peterson, MSW
• Gianna Petrillo, M.S., CCC-SLP
• Kristen Elizabeth Petullo, LCSW
• Philip E Toaldo, DDS. PA
• Philmore Associates, LLC

• Mental Health Counselor in Nutley, NJ
• Providers in Nutley, 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 Mar 13, 2023; 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.