Active NPI
Kenia Moreira Dutra, MA ORDAINED MINISTER
- Pastoral Counselor
- Cinnaminson, NJ
National Provider Identifier
1891684148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 101 Route 130 S Ste 510
Cinnaminson, NJ 08077-2844 - Phone
- (856) 465-5364
- NPI assigned
- Jul 1, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | Primary |
Addresses
Primary practice location
101 Route 130 S Ste 510
Cinnaminson, NJ 08077-2844
Mailing address
101 Route 130 S Ste 510
Cinnaminson, NJ 08077-2844
Phone (856) 465-5364
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1891684148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 ROUTE 130 S STE 510",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080772844",
"telephone_number": "856-465-5364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ROUTE 130 S STE 510",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080772844",
"telephone_number": "856-465-5364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTRA",
"first_name": "KENIA",
"middle_name": "MOREIRA",
"name_prefix": "Mrs.",
"credential": "MA ORDAINED MINISTER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cinnaminson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.