Kimberly Johdos, MSW, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SL05742100 Issued in NJ

Practice address

16 Pearl St
Metuchen, NJ 08840-1847

Phone

(732) 455-9662

NPI assigned

Jan 24, 2022

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1821740531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 HOLLYWOOD AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PEARL ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401847",
            "telephone_number": "732-455-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHDOS",
        "first_name": "KIMBERLY",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL05742100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S. Zlotnick OD
• Jenny Rong, DDS, Ms, PC
• Li Jing
• Neel Jingar, MD
• JNJ Medical Devices & Services LLC
• Amy Ann John, M.D.
• Thomas William Johnson, ED.D.
• Kimberly Ellen Jones, MS, RDN, CNSC
• Journicare, LLC
• Joymed LLC

• Mental Health Counselor in Metuchen, NJ
• Providers in Metuchen, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.