Individual provider Active NPI

Kevin James Laughlin, ED.D., LPC

  • Professional Counselor
  • Marlton, NJ
National Provider Identifier
1891531497
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01010500 Issued in NJ
Practice address
2001 Lincoln Dr W Ste a
Marlton, NJ 08053-1531
Phone
(609) 417-7300
NPI assigned
Jul 2, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 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 37PC01010500 NJ Primary

Addresses

Primary practice location

2001 Lincoln Dr W Ste a
Marlton, NJ 08053-1531

Mailing address

2001 Lincoln Dr W Ste a
Marlton, NJ 08053-1531
Phone (609) 417-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102003142 NJ Practitioner - Mental Health Counselor 6709313760 Practice locations: Clayton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Clayton, NJ 08312
Phone (856) 466-3256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1891531497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LINCOLN DR W STE A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531531",
            "telephone_number": "609-417-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LINCOLN DR W STE A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531531",
            "telephone_number": "609-417-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "credential": "ED.D., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01010500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.