Active NPI
Kindred Haven Counseling, LLC
- Mental Health Counselor
- Verona, NJ
National Provider Identifier
1972210144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KINDRED HAVEN COUNSELING, LLC
- Practice address
- 25 Pompton Ave Ste 101
Verona, NJ 07044-2938 - Phone
- (973) 664-7604
- NPI assigned
- Oct 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rose Lerva Moise, LPC, NCC
- Title
- Owner/Therapist
- Phone
- (973) 664-7604
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
25 Pompton Ave Ste 101
Verona, NJ 07044-2938
Mailing address
25 Pompton Ave Ste 101
Verona, NJ 07044-2938
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://kindredhavencounseling.clientsecure.me |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666828800000",
"number": "1972210144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 POMPTON AVE STE 101",
"city": "VERONA",
"state": "NJ",
"postal_code": "070442938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 POMPTON AVE STE 101",
"city": "VERONA",
"state": "NJ",
"postal_code": "070442938",
"telephone_number": "973-664-7604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINDRED HAVEN COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-27",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A",
"authorized_official_last_name": "MOISE",
"authorized_official_first_name": "ROSE",
"authorized_official_middle_name": "LERVA",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "973-664-7604",
"authorized_official_credential": "LPC, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://kindredhavencounseling.clientsecure.me",
"affiliation": "N",
"address_1": "25 Pompton Ave Ste 101",
"city": "Verona",
"state": "NJ",
"country_code": "US",
"postal_code": "070442938",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Verona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.