Individual provider Active NPI

Isabella Dibernard

  • Counselor
  • Hackettstown, NJ
National Provider Identifier
1912611237
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37AC00700100 Issued in NJ
Practice address
1 Edgeview Dr Ste 2B
Hackettstown, NJ 07840-4003
Phone
(908) 246-1480
NPI assigned
Jan 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC00700100 NJ Primary

Addresses

Primary practice location

1 Edgeview Dr Ste 2B
Hackettstown, NJ 07840-4003

Mailing address

1 Edgeview Dr Ste 2B
Hackettstown, NJ 07840-4003

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

State licenses

LicenseStateTypeSpecialty
37AC00700100NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Schaffer, LLC Counselor CurrentSince Apr 6, 2025 Accepting new patients

Locations

1 Edgeview Dr
Ste 2B
Hackettstown, NJ 07840
Phone (908) 224-0838

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1912611237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEVIEW DR STE 2B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDGEVIEW DR STE 2B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404003",
            "telephone_number": "908-246-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBERNARD",
        "first_name": "ISABELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00700100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

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

Verify at the official NPI Registry.