Individual provider Active NPI

Kimberly Ann McGrath Maki, MS, LPC

  • Professional Counselor
  • Mountain Lakes, NJ
National Provider Identifier
1922755313
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00827000 Issued in NJ
Practice address
420 Boulevard Ste 207
Mountain Lakes, NJ 07046-1733
Phone
(973) 525-3874
NPI assigned
Mar 4, 2022
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00827000
Professional Counselor 101YP2500X 37PC00827000 NJ Primary

Addresses

Primary practice location

420 Boulevard Ste 207
Mountain Lakes, NJ 07046-1733

Mailing address

26B W Main St
Mendham, NJ 07945-1217
Phone (973) 525-3874

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 Science

State licenses

LicenseStateTypeSpecialty
37PC00827000NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1922755313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26B W MAIN ST",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451217",
            "telephone_number": "973-525-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BOULEVARD STE 207",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461733",
            "telephone_number": "973-525-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH MAKI",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "37PC00827000",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00827000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.