Individual provider Active NPI

Dana M Kabisch, LPC

  • Professional Counselor
  • Phillipsburg, NJ
National Provider Identifier
1720579121
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00783400 Issued in NJ
Practice address
201 Strykers Rd Ste 19-179
Phillipsburg, NJ 08865-5400
Phone
(908) 291-2131
Fax
(908) 751-1181
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00783400 NJ Primary

Addresses

Primary practice location

201 Strykers Rd Ste 19-179
Phillipsburg, NJ 08865-5400

Mailing address

201 Strykers Rd Ste 19-179
Phillipsburg, NJ 08865-5400
Phone (908) 291-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00783400NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Resilience Psychotherapy, LLC Professional CurrentSince Jun 1, 2023 Accepting new patients
Genpsych Flemington PastSince Dec 1, 2021 Accepting new patients

Locations

70 Church St
Ste 100
Flemington, NJ 08822

201 Strykers Rd
Ste 19179
Phillipsburg, NJ 08865
Phone (908) 291-2131

313 Pittstown Rd
Unit 463
Pittstown, NJ 08867

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": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1720579121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STRYKERS RD STE 19-179",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088655400",
            "telephone_number": "908-291-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STRYKERS RD STE 19-179",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088655400",
            "telephone_number": "908-291-2131",
            "fax_number": "908-751-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABISCH",
        "first_name": "DANA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00783400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.