Active NPI
Kenneth Hart, MA, LAC
- Counselor
- Passaic, NJ
National Provider Identifier
1780095687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37AC00111400
- Practice address
- 530 Main Ave
Passaic, NJ 07055-5700 - Phone
- (973) 470-3142
- NPI assigned
- May 13, 2014
- Last updated
- May 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37AC00111400 | NJ | Primary |
Addresses
Primary practice location
530 Main Ave
Passaic, NJ 07055-5700
Mailing address
530 Main Ave
Passaic, NJ 07055-5700
Phone (973) 470-3142
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00111400 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1780095687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 MAIN AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555700",
"telephone_number": "973-470-3142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 MAIN AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555700",
"telephone_number": "973-470-3142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "KENNETH",
"credential": "MA, LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00111400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.