KH Therapy

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

KH THERAPY

Practice address

11 Paterson Ave
Midland Park, NJ 07432-1829

Phone

(201) 497-0130

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Kevin HackettNPI 1346964335

Title

Owner

Phone

(201) 497-0130

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Hackett, LSW, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Midland Park, NJ
  • NPI 1346964335
  NPD Authorized official

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708214400000",
    "number": "1912699075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PATERSON AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PATERSON AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321829",
            "telephone_number": "201-497-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-497-0130"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kearney, LCSW
• Keith Seidenberg, MD LLC
• Dylan Kelczewski, SLP
• Michelle Kelly, CCC-SLP
• Nancy A Kelly, OTR
• Chiyon Kim
• Marla Klein
• C. Michael Knee, M.D.
• Stephanie E Knight, LCSW
• Julia J Kohen

• Addiction (Substance Use Disorder) Counselor in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.