Kimberly Ketchow, LAC, MA, MS, NCC, RBT
Counselor, Mental Health in Eatontown, New Jersey
1467316083- Practice location
- 615 Hope RD Ste 5B, Eatontown, NJ 07724-1273
- Phone
- 732-389-0679
- Fax
- —
- Last updated
- December 10, 2025
Kimberly Ketchow is a Counselor, Mental Health based in Eatontown, NJ. Kimberly Ketchow practices in Eatontown, NJ and has the professional credentials of LAC, MA, MS, NCC, RBT. The NPI Number for Kimberly Ketchow is 1467316083 and holds a License No. 37AC00923700 (NJ). The current practice location address for Kimberly Ketchow is 615 Hope RD Ste 5B, Eatontown, NJ 07724-1273 and can be reached out via phone at 732-389-0679.
Provider Profile Details
- NPI Number
- 1467316083
- Provider Name
- Kimberly Ketchow
- Credential
- LAC, MA, MS, NCC, RBT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 615 Hope RD Ste 5B, Eatontown, NJ 07724-1273
- Phone Number
- 732-389-0679
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 10, 2025
- Last Update Date
- December 10, 2025
- Certification Date
- December 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 615 Hope RD Ste 5B
Eatontown, NJ 07724-1273 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-1273
- Phone Number
- 732-389-0679
Provider Business Mailing Address Details
- Address
- 33 Union Ave
Belford, NJ 07718-1029 - City
- Belford
- State
- NJ
- Zip
- 07718-1029
- Phone Number
- 732-389-0679
License Information
- License Number
- 37AC00923700
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Eatontown, NJ
View all Counselor, Mental Health providers in Eatontown →- Alisa PallittoCounselor, Mental Health · NPI 1962330886
- Amanda L Brower, LACCounselor, Mental Health · NPI 1831936764
- Ariel BarterCounselor, Mental Health · NPI 1194606459
- Basirah C Byrd, LACCounselor, Mental Health · NPI 1366151748
- Brett Benedetti, LACCounselor, Mental Health · NPI 1598606634
- Brian FredaCounselor, Mental Health · NPI 1144044298
Frequently Asked Questions
What is the NPI number of Kimberly Ketchow, LAC, MA, MS, NCC, RBT?
The NPI number of Kimberly Ketchow, LAC, MA, MS, NCC, RBT is 1467316083. It was assigned on December 10, 2025 and is currently active in the NPPES registry.
What is the specialty of Kimberly Ketchow, LAC, MA, MS, NCC, RBT?
Kimberly Ketchow, LAC, MA, MS, NCC, RBT is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00923700.
Where does Kimberly Ketchow, LAC, MA, MS, NCC, RBT practice?
The practice location is 615 Hope RD Ste 5B, Eatontown, NJ 07724-1273. The office can be reached at 732-389-0679 (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 1467316083 directly on the NPPES registry website.