Kaizen Foundation, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KAIZEN FOUNDATION, LLC

Practice address

44 Cooper St Ste 109
Woodbury, NJ 08096-4642

Phone

(856) 404-2248

Fax

(856) 494-1345

NPI assigned

Aug 17, 2021

Last updated

Aug 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly White, PHD, LPC, CCTPNPI 1710518493

Title

Licensed Professional Counselor

Phone

(856) 404-2248

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly White, PHD, LPC, CCTP

  • Professional Counselor
  • Woodbury, NJ
  • NPI 1710518493
  NPD Authorized official

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1629744057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 COOPER ST STE 109",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964642",
            "telephone_number": "856-404-2248",
            "fax_number": "856-494-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 COOPER ST STE 109",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964642",
            "telephone_number": "856-404-2248",
            "fax_number": "856-494-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIZEN FOUNDATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "856-404-2248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, CCTP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Denise Jones
• Mariah Jones, LAC
• Joseph B. McDivitt (Schoolhouse Physical Therapy)
• Joseph J Fallon Jr MD PA
• Ayesha Joseph
• Konstantine Skyler Karatzas, MD, LAC
• Ravneet Kaur, APN
• Stacy Kelly
• Kelsch Associates Inc. New Jersey
• Kelsch Associates Inc. New Jersey

• Community/Behavioral Health Agency in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.