Kic Behavioral & Counseling Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KIC BEHAVIORAL & COUNSELING SERVICES LLC

Practice address

5051 RT 42
Unit 4 PMB 1001
Turnersville, NJ 08012

Phone

(856) 650-6509

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Okechukwu Anslem Madu, APN

Title

Ceo

Phone

(856) 650-6509

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1891553327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 RT 42",
            "address_2": "UNIT 4 PMB 1001",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-650-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 RT 42",
            "address_2": "UNIT 4 PMB 1001",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-650-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIC BEHAVIORAL & COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "MADU",
        "authorized_official_first_name": "OKECHUKWU",
        "authorized_official_middle_name": "ANSLEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-650-6509",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Medical Group Practice, PC
• Kennedy University Hospital, Inc.
• Elyse Beth Kernis, DO
• Steven J Kernis, M.D.
• Kathleen Susan Kerr, BA, NCPRSS
• Brooke Kieserman
• Alexis Kilduff, LPC
• Krista H King, M.D.
• Theodore G Koerner, DO
• Jeffrey Konzelman, PA-S

• Mental Health Clinic/Center (Including Community Mental Health Center) in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.