Individual provider Active NPI

Kristen D'Amico, MA, LPC, ACS

  • Professional Counselor
  • Turnersville, NJ
National Provider Identifier
1942639232
Registry record updated May 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00520200 Issued in NJ
Practice address
900 Route 168 Ste D1
Turnersville, NJ 08012-3207
Phone
(609) 351-1808
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00520200 NJ Primary

Addresses

Primary practice location

900 Route 168 Ste D1
Turnersville, NJ 08012-3207

Mailing address

7 Granville CT
Evesham, NJ 08053-3824
Phone (609) 351-1808

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kd'amico@littlehandsagency.com Direct

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

State licenses

LicenseStateTypeSpecialty
37PC00520200NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588377600000",
    "number": "1942639232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GRANVILLE CT",
            "city": "EVESHAM",
            "state": "NJ",
            "postal_code": "080533824",
            "telephone_number": "609-351-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 168 STE D1",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123207",
            "telephone_number": "609-351-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, ACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00520200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kd'amico@littlehandsagency.com",
            "affiliation": "N",
            "endpointDescription": "encrypted confidential email server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 Route 168 Ste D1",
            "city": "Turnersville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080123207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2020; 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.