Kaitlyn Mary Kudravitsky, M.A., LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00975700 Issued in NJ

Practice address

36 Kresson Rd
Cherry Hill, NJ 08034-3227

Phone

(888) 687-9516

NPI assigned

Aug 20, 2020

Last updated

Aug 16, 2023By the provider in NPPES

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

Other names 1

• Kaitlyn Mary Gilmartin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: lifestancehealth.kaitlyngilmartin@148376.advancedmd-direct.com

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1912519992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 U.S. HIGHWAY 9 STE 7",
            "address_2": "#1014",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 KRESSON RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343227",
            "telephone_number": "888-687-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDRAVITSKY",
        "first_name": "KAITLYN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00975700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "GILMARTIN",
            "middle_name": "MARY",
            "credential": "M.A., LAC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• KRN Counseling LLC
• Julie Krug, LCSW
• Victoria Noreen Krug, LAC
• Judith Krumbein, MA CCC-SLP
• Samantha Kubinski
• Elizabeth Kuhn, OTR/L
• Laura Kuhn, M.A., CCC-SLP
• Abhilasha Kumar, NP
• Geetha Kumar, M.D.
• Mary Ann Macatol Kumar, MD

• Professional Counselor in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.