MS. IDA ROSE KENNA (NPI# 1508192907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508192907 |
| Entity Type | Individual |
| Full Name | MS. IDA ROSE KENNA |
| Credential | LPC |
| Practice Address |
601 Broadway Bayonne NJ 07002-3818 |
| Practice Telephone | 2013399200 |
| Practice Fax Number | 2013397842 |
| Mailing Telephone | 2013399200 |
| Mailing Fax Number | 2013397842 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
37PC00281600 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0021806 | 05 |
| Street Address |
601 BROADWAY |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954745 | Noreen Heslin | Counselor | 601 Broadway, Bayonne, NJ 07002-3818 | 2019-07-20 |
| 1093270787 | Stephen Schram | Social Worker | 601 Broadway, Bayonne, NJ 07002-3818 | 2019-02-06 |
| 1720543416 | Christina Ramdat | Counselor | 601 Broadway, Bayonne, NJ 07002-3818 | 2019-02-06 |
| 1033674734 | Kamesha Walkins | Social Worker | 601 Broadway, Bayonne, NJ 07002-3818 | 2019-02-06 |
| 1538665823 | Trinitas Regional Medical Center | Community/Behavioral Health | 601 Broadway, Bayonne, NJ 07002-3818 | 2018-04-04 |
| 1922507458 | Nadia Hassan | Counselor | 601 Broadway, Bayonne, NJ 07002-3818 | 2018-02-11 |
| 1750806766 | Jasmine R. Hayes | Counselor | 601 Broadway, Bayonne, NJ 07002-3818 | 2017-08-10 |
| 1841725306 | Bayonne Community Mental Health Center | Counselor | 601 Broadway, Bayonne, NJ 07002-3818 | 2017-04-21 |
| 1619400314 | Joshua Echeverria | Counselor | 601 Broadway, Bayonne, NJ 07002-3818 | 2017-04-10 |
| 1437682168 | Aleza P. Paclarin | Counselor | 601 Broadway, Bayonne, NJ 07002-3818 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576008 | Danielle Ortiz | Counselor | 12 Zabriskie Ave, Bayonne, NJ 07002-2328 | 2020-07-30 |
| 1700195070 | Wendy Vanessa Orellana | Counselor | 1011 Avenue C #123, Bayonne, NJ 07002 | 2010-10-04 |
| 1831215300 | Camille Mackey | Counselor | 98 W 34th St, 2, Bayonne, NJ 07002-2818 | 2007-03-22 |
| 1023509312 | Jennifer D Mclaughlin | Counselor | 473 Broadway Ste 215, Bayonne, NJ 07002-3680 | 2018-05-23 |
| 1922507458 | Nadia Hassan | Counselor | 601 Broadway, Bayonne, NJ 07002-3818 | 2018-02-11 |
| 1750806766 | Jasmine R. Hayes | Counselor | 601 Broadway, Bayonne, NJ 07002-3818 | 2017-08-10 |
| 1437682168 | Aleza P. Paclarin | Counselor | 601 Broadway, Bayonne, NJ 07002-3818 | 2017-04-10 |
| 1184090151 | Patricia Noonan | Counselor | 30 E 22nd St, Apt 1, Bayonne, NJ 07002-3709 | 2015-08-13 |
| 1780013185 | Jessica Marie Vicari | Counselor | 778 Broadway, Bayonne, NJ 07002-3949 | 2013-11-06 |
| 1710263603 | Peter Benanti | Counselor | 707 Broadway, Bayonne, NJ 07002 | 2011-10-24 |
| Find all providers in BAYONNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.