Active NPIIndividual provider

Kierra Tims, MA, LAC

Counselor, Mental Health in East Orange, New Jersey

NPI Number1295193985
Practice location
111 Halsted St, Apt 401, East Orange, NJ 07018-2665
Fax
—
Last updated
February 9, 2016

Kierra Tims is a Counselor, Mental Health based in East Orange, NJ. Kierra Tims practices in East Orange, NJ and has the professional credentials of MA, LAC. The NPI Number for Kierra Tims is 1295193985 and holds a License No. 37AC00296000 (NJ). The current practice location address for Kierra Tims is 111 Halsted St, Apt 401, East Orange, NJ 07018-2665 and can be reached out via phone at 973-380-3798.

Provider Profile Details

NPI Number
1295193985
Provider Name
Kierra Tims
Credential
MA, LAC
Provider Entity Type
Individual
Gender
Female
Address
111 Halsted St, Apt 401, East Orange, NJ 07018-2665
Phone Number
973-380-3798
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
February 9, 2016
Last Update Date
February 9, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Halsted St
Apt 401
East Orange, NJ 07018-2665
Zip
07018-2665
Phone Number
973-380-3798
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
111 Halsted St
Apt 401
East Orange, NJ 07018-2665
City
East Orange
State
NJ
Zip
07018-2665
Phone Number
973-380-3798

License Information

License Number
37AC00296000
License State
NJ
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 Kierra Tims, MA, LAC?

The NPI number of Kierra Tims, MA, LAC is 1295193985. It was assigned on February 9, 2016 and is currently active in the NPPES registry.

What is the specialty of Kierra Tims, MA, LAC?

Kierra Tims, MA, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00296000.

Where does Kierra Tims, MA, LAC practice?

The practice location is 111 Halsted St, Apt 401, East Orange, NJ 07018-2665. The office can be reached at 973-380-3798 (phone).

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 1295193985 directly on the NPPES registry website.

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