Individual provider Active NPI

Kristen Marie Labin Bekelja, PSY.D.

  • Clinical Psychologist
  • Manahawkin, NJ
National Provider Identifier
1649486374
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100550500 Issued in NJ
Practice address
21 Jennings Rd Ste 1
Manahawkin, NJ 08050-3307
Phone
(609) 512-5483
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC009654 PA
Psychologist 103T00000X PS017581 PA
Clinical Psychologist 103TC0700X 35S100550500 NJ Primary

Addresses

Primary practice location

21 Jennings Rd Ste 1
Manahawkin, NJ 08050-3307

Mailing address

21 Jennings Rd Ste 1
Manahawkin, NJ 08050-3307
Phone (609) 512-5483

Other names 1

  • Kristen Marie Labin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160127002275 NJ Practitioner - Clinical Psychologist 0143523951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

411 Holyoke Ave
Beach Haven, NJ 08008-1440
Phone (609) 200-0063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017581PAMDPsychologist
OC009654PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Psychological Services, LLC Psychologist CurrentSince Jan 6, 2016 Accepting new patients
Centra Medical Group, LLC Past Accepting new patients

Locations

21 Jennings Rd
#1
Manahawkin, NJ 08050
Phone (609) 512-5483

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1649486374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 JENNINGS RD STE 1",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503307",
            "telephone_number": "609-512-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 JENNINGS RD STE 1",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503307",
            "telephone_number": "609-512-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABIN BEKELJA",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009654",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017581",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100550500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "LABIN",
            "middle_name": "MARIE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.