Active NPIIndividual provider

Mr. Kevin Goodleaf, BA

Counselor, Mental Health in Bergenfield, New Jersey

NPI Number1194116798
Practice location
386 W Main St, Bergenfield, NJ 07621-1569
Fax
201-567-9335
Last updated
February 18, 2015

Kevin Goodleaf is a Counselor, Mental Health based in Bergenfield, NJ. Kevin Goodleaf practices in Bergenfield, NJ and has the professional credentials of BA. The NPI Number for Kevin Goodleaf is 1194116798. The current practice location address for Kevin Goodleaf is 386 W Main St, Bergenfield, NJ 07621-1569 and can be reached out via phone at 201-385-8223 and via fax at 201-567-9335.

Provider Profile Details

NPI Number
1194116798
Provider Name
Kevin Goodleaf
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
386 W Main St, Bergenfield, NJ 07621-1569
Phone Number
201-385-8223
Fax Number
201-567-9335
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
February 18, 2015
Last Update Date
February 18, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
386 W Main St
Bergenfield, NJ 07621-1569
Zip
07621-1569
Phone Number
201-385-8223
Fax Number
201-567-9335
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
386 W Main St
Bergenfield, NJ 07621-1569
City
Bergenfield
State
NJ
Zip
07621-1569
Phone Number
201-385-8223
Fax Number
201-567-9335

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kevin Goodleaf, BA?

The NPI number of Mr. Kevin Goodleaf, BA is 1194116798. It was assigned on February 18, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. Kevin Goodleaf, BA?

Mr. Kevin Goodleaf, BA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Mr. Kevin Goodleaf, BA practice?

The practice location is 386 W Main St, Bergenfield, NJ 07621-1569. The office can be reached at 201-385-8223 (phone) or 201-567-9335 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194116798 directly on the NPPES registry website.

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