Emily Kang

Key facts

NPI

1659965580

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

37PC00979800 (NJ)

Practice address

333 Levis Dr
Mount Holly, NJ 08060-1331

Phone

(609) 267-7200

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Mount Holly Township Public Schools Local Education Agency (LEA) · Mount Holly, NJ · NPI 1730398868
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 9, 2024.

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1659965580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LEVIS DR",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601331",
            "telephone_number": "609-267-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LEVIS DR",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601331",
            "telephone_number": "609-267-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00979800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Mount Holly, NJ · Mental Health Counselor in New Jersey