Kimberly Samra, LAC
Counselor, Mental Health in Ridgewood, New Jersey
1699374645- Practice location
- 120 Chestnut St, Ridgewood, NJ 07450-2504
- Phone
- 201-444-3550
- Fax
- —
- Last updated
- October 21, 2020
Kimberly Samra is a Counselor, Mental Health based in Ridgewood, NJ. Kimberly Samra practices in Ridgewood, NJ and has the professional credentials of LAC. The NPI Number for Kimberly Samra is 1699374645 and holds a License No. AC-GTL-20-01847 (NJ). The current practice location address for Kimberly Samra is 120 Chestnut St, Ridgewood, NJ 07450-2504 and can be reached out via phone at 201-444-3550.
Provider Profile Details
- NPI Number
- 1699374645
- Provider Name
- Kimberly Samra
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 120 Chestnut St, Ridgewood, NJ 07450-2504
- Phone Number
- 201-444-3550
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 21, 2020
- Last Update Date
- October 21, 2020
- Certification Date
- October 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Chestnut St
Ridgewood, NJ 07450-2504 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-2504
- Phone Number
- 201-444-3550
Provider Business Mailing Address Details
- Address
- 120 Chestnut St
Ridgewood, NJ 07450-2504 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-2504
- Phone Number
- 201-444-3550
License Information
- License Number
- AC-GTL-20-01847
- 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 Ridgewood, NJ
View all Counselor, Mental Health providers in Ridgewood →- Alexandra L Arbuco, LACCounselor, Mental Health · NPI 1336724129
- Amanda HagerCounselor, Mental Health · NPI 1336704931
- Angela KimCounselor, Mental Health · NPI 1225771736
- Barbara Markell, LCSWCounselor, Mental Health · NPI 1619377850
- Behaved BrainCounselor, Mental Health · NPI 1679023378
- Caitlin N Colditz, LACCounselor, Mental Health · NPI 1164312369
Frequently Asked Questions
What is the NPI number of Kimberly Samra, LAC?
The NPI number of Kimberly Samra, LAC is 1699374645. It was assigned on October 21, 2020 and is currently active in the NPPES registry.
What is the specialty of Kimberly Samra, LAC?
Kimberly Samra, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number AC-GTL-20-01847.
Where does Kimberly Samra, LAC practice?
The practice location is 120 Chestnut St, Ridgewood, NJ 07450-2504. The office can be reached at 201-444-3550 (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 1699374645 directly on the NPPES registry website.