NPIMap

Organization Active NPI

King of Hearts Life Enhancement Center

  • Mental Health Counselor
  • Brick, NJ
National Provider Identifier
1699184226
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37LC00034800 Issued in NJ
Legal business name
KING OF HEARTS LIFE ENHANCEMENT CENTER
Practice address
522 Brick Blvd
Brick, NJ 08723-6089
Phone
(732) 240-2545
Fax
(732) 475-6265
NPI assigned
Aug 7, 2014
Last updated
Aug 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Dr. Tara Michelle King, LPC, LCADCNPI 1194750307
Title
Director
Phone
(848) 333-9330

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
Mental Health Counselor 101YM0800X 37LC00034800 NJ Primary

Addresses

Primary practice location

522 Brick Blvd
Brick, NJ 08723-6089

Mailing address

522 Brick Blvd
Brick, NJ 08723-6089
Phone (732) 240-2545

Other identifiers 1

IdentifierTypeStateIssuer
101YAO400XOtherNJLEVEL III AREA OF SPECIALIZATION ALCOHOL AND DRUG COUNSELOR

Other names 1

  • Dr. Tara M King Other name

National Provider Directory

National Provider Directory

Locations

522 Brick Blvd
Brick, NJ 08723
Phone (732) 240-2545

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1699184226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236089",
            "telephone_number": "732-240-2545",
            "fax_number": "732-475-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236089",
            "telephone_number": "732-240-2545",
            "fax_number": "732-475-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING OF HEARTS LIFE ENHANCEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "848-333-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37LC00034800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEVEL III AREA OF SPECIALIZATION ALCOHOL AND DRUG COUNSELOR",
            "identifier": "101YAO400X",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Tara M King",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.