Active NPIIndividual providerSole proprietor

Carly Koenig, LAC, MA, NCC

Counselor, Professional in Moorestown, New Jersey

NPI Number1366239378
Practice location
714 E Main St, Moorestown, NJ 08057-3068
Fax
856-249-9651
Last updated
August 8, 2026

Carly Koenig is a Counselor, Professional based in Moorestown, NJ. Carly Koenig practices in Moorestown, NJ and has the professional credentials of LAC, MA, NCC. The NPI Number for Carly Koenig is 1366239378 and holds a License No. 37AC00904600 (NJ). The current practice location address for Carly Koenig is 714 E Main St, Moorestown, NJ 08057-3068 and can be reached out via phone at 856-834-3709 and via fax at 856-249-9651.

Provider Profile Details

NPI Number
1366239378
Provider Name
Carly Koenig
Credential
LAC, MA, NCC
Provider Entity Type
Individual
Gender
Female
Address
714 E Main St, Moorestown, NJ 08057-3068
Phone Number
856-834-3709
Fax Number
856-249-9651
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
April 22, 2025
Last Update Date
August 8, 2026
Certification Date
August 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
714 E Main St
Moorestown, NJ 08057-3068
Zip
08057-3068
Phone Number
856-834-3709
Fax Number
856-249-9651
Moorestown, NJ 08057Get directions →

Provider Business Mailing Address Details

Address
714 E Main St
Moorestown, NJ 08057-3068
City
Moorestown
State
NJ
Zip
08057-3068
Phone Number
856-834-3709
Fax Number
856-249-9651

License Information

License Number (1)
37AC00904600
License State (1)
NJ
Taxonomy (1)
Counselor · 101Y00000X
License Number (2)
37AC00904600
License State (2)
NJ
Taxonomy (2)
Counselor, Professional · 101YP2500X · Primary
Taxonomy (3)
Counselor, Mental Health · 101YM0800X

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 Carly Koenig, LAC, MA, NCC?

The NPI number of Carly Koenig, LAC, MA, NCC is 1366239378. It was assigned on April 22, 2025 and is currently active in the NPPES registry.

What is the specialty of Carly Koenig, LAC, MA, NCC?

Carly Koenig, LAC, MA, NCC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37AC00904600.

Where does Carly Koenig, LAC, MA, NCC practice?

The practice location is 714 E Main St, Moorestown, NJ 08057-3068. The office can be reached at 856-834-3709 (phone) or 856-249-9651 (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 1366239378 directly on the NPPES registry website.

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