Kimberly D Martin, LAC
Counselor, Mental Health in Montclair, New Jersey
1861211906- Practice location
- 6 Gates Avenue, Montclair, NJ 07042
- Phone
- 973-604-6881
- Fax
- —
- Last updated
- October 7, 2024
Kimberly Daianna Martin is a Counselor, Mental Health based in Montclair, NJ. Kimberly Daianna Martin practices in Montclair, NJ and has the professional credentials of LAC. The NPI Number for Kimberly Daianna Martin is 1861211906 and holds a License No. 37AC00757100 (NJ). The current practice location address for Kimberly Daianna Martin is 6 Gates Avenue, Montclair, NJ 07042 and can be reached out via phone at 973-604-6881.
Provider Profile Details
- NPI Number
- 1861211906
- Provider Name
- Kimberly Daianna Martin
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6 Gates Avenue, Montclair, NJ 07042
- Phone Number
- 973-604-6881
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 7, 2024
- Last Update Date
- October 7, 2024
- Certification Date
- October 3, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Gates Avenue
Montclair, NJ 07042 - City
- Montclair
- State
- New Jersey
- Zip
- 07042
- Phone Number
- 973-604-6881
Provider Business Mailing Address Details
- Address
- 53 Piaget Ave
Clifton, NJ 07011-1216 - City
- Clifton
- State
- NJ
- Zip
- 07011-1216
License Information
- License Number
- 37AC00757100
- 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 Montclair, NJ
View all Counselor, Mental Health providers in Montclair →- Alexis R Longo, LACCounselor, Mental Health · NPI 1689399107
- Alice C KearneyCounselor, Mental Health · NPI 1033305214
- Amani D BeachCounselor, Mental Health · NPI 1134834856
- Amna KhanCounselor, Mental Health · NPI 1851773253
- Anne Ilardi, LAC, NCCCounselor, Mental Health · NPI 1710852009
- Ashley Barbosa, MA, LAC, CCSCounselor, Mental Health · NPI 1861351645
Frequently Asked Questions
What is the NPI number of Kimberly D Martin, LAC?
The NPI number of Kimberly D Martin, LAC is 1861211906. It was assigned on October 7, 2024 and is currently active in the NPPES registry.
What is the specialty of Kimberly D Martin, LAC?
Kimberly D Martin, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00757100.
Where does Kimberly D Martin, LAC practice?
The practice location is 6 Gates Avenue, Montclair, NJ 07042. The office can be reached at 973-604-6881 (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 1861211906 directly on the NPPES registry website.