Organization Active NPI

K M Coelhovera Eds LPC

  • Counselor
  • Newark, NJ
National Provider Identifier
1619520699
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
K M COELHOVERA EDS LPC
Practice address
290 Chestnut St Ste 206
Newark, NJ 07105-6524
Phone
(201) 362-7036
NPI assigned
Jul 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Mrs. Kimberly Coelho-Vera, LPCNPI 1497307292
Title
Owner
Phone
(201) 362-7036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1619520699",
    "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": {
        "organization_name": "K M COELHOVERA EDS LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "COELHO-VERA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-362-7036",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 19, 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.