Rachel M Kornmann, MA, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37AC00576800 Issued in NJ

Practice address

981 Route 22
Bridgewater, NJ 08807-2946

Phone

(856) 436-7792

NPI assigned

Apr 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1720660822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 JACKSON AVE APT 119",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373165",
            "telephone_number": "732-850-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 ROUTE 22",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072946",
            "telephone_number": "856-436-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNMANN",
        "first_name": "RACHEL",
        "middle_name": "M",
        "credential": "MA, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37AC00576800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Koller, BA
• Lindsay Komar
• Nicholaus Gladstone Komla-Aza
• Sandhya R Kondapaneni
• Kimberly Ann Kornbluth, PHARM.D.
• Eleni Kozas
• Diane Rae Krasner, LPC
• Lauren Krewsun
• John P Kripsak, D.O.
• Natalie A. Kucenski

• Addiction (Substance Use Disorder) Counselor in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.