Organization Active NPI

Kindred Haven Counseling, LLC

  • Mental Health Counselor
  • Verona, NJ
National Provider Identifier
1972210144
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Oct 27, 2022

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL https://kindredhavencounseling.clientsecure.me

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.