KING OF HEARTS LIFE ENHANCEMENT CENTER (NPI# 1699184226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699184226 |
| Entity Type | Organization |
| Organization Name | KING OF HEARTS LIFE ENHANCEMENT CENTER |
| Other Organization Name | DR. TARA M KING |
| Practice Address |
522 Brick Blvd Brick NJ 08723-6089 |
| Practice Telephone | 7322402545 |
| Practice Fax Number | 7324756265 |
| Mailing Telephone | 7322402545 |
| Mailing Fax Number | 7324756265 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Authorized Official Name | DR. TARA MICHELLE KING (DIRECTOR) |
| Authorized Official Telephone | 8483339330 |
| Authorized Official Credential | LPC, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
37LC00034800 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LEVEL III AREA OF SPECIALIZATION ALCOHOL AND DRUG COUNSELOR | 101YAO400X | 01 |
| Other Name | Type Code |
|---|---|
| Dr. Tara M King | Other Name - Individual/Organization |
| Street Address |
522 BRICK BLVD |
| City | BRICK |
| State | NJ |
| Zip Code | 08723-6089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811133200 | Therapy To Go, LLC | Physical Therapist | 522 Brick Blvd, Unit 101, Brick, NJ 08723-6089 | 2009-01-06 |
| 1699210559 | Kathleen P Buzzone-brooks | Social Worker | 522 Brick Blvd, Brick, NJ 08723-6089 | 2017-01-03 |
| 1538534144 | Paul Carberry | Counselor | 522 Brick Blvd, Brick, NJ 08723-6089 | 2015-12-08 |
| 1538551072 | King of Hearts Life Enhancement Services, LLC | Counselor | 522 Brick Blvd, Brick, NJ 08723-6089 | 2015-02-20 |
| 1114342078 | Bandele Addison | Counselor | 522 Brick Blvd, Brick, NJ 08723-6089 | 2014-02-28 |
| 1376985341 | Rosalind Frances Pagliano | Counselor | 522 Brick Blvd, Brick, NJ 08723-6089 | 2013-07-19 |
| 1518294404 | Ngozi Nwobi | Nurse Practitioner | 522 Brick Blvd, Suite 201, Brick, NJ 08723 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437829 | Michael Gatto | Hearing Instrument Specialist | 2791 Hooper Ave, Brick, NJ 08723 | 2020-11-02 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982179875 | Enable, Inc. | Residential Treatment Facility, Physical Disabilities | 481 Herbertsville Road, Brick, NJ 08723 | 2018-10-08 |
| 1689154585 | Erica Beckenhauer | Physical Therapist | 909 Cedarbridge Avenue, Brick, NJ 08723 | 2018-08-20 |
| 1578059283 | Bricktowne Pharmacy LLC | Pharmacy | 101 Prosper Way, Unit C, Brick, NJ 08723 | 2018-07-05 |
| 1376045088 | Katie Lynn Hueth | Counselor | 74 Brick Blvd., Building 4, Suite 206b, Brick, NJ 08723 | 2018-03-08 |
| 1548786445 | Apmr Chiropractic | Chiropractor | 56 Chambers Bridge Road, Brick, NJ 08723 | 2017-08-22 |
| 1972050441 | Donna Francese | Counselor | 104 Teakwood Drive, Brick, NJ 08723 | 2016-09-01 |
| 1780130377 | Eastern Dental of Ocean/monmouth, LLC | Dentist | 2770 Hooper Ave., Unit 4, Brick, NJ 08723 | 2016-09-01 |
| 1073066700 | Garden State Smiles of Brick | Dentist | 525 Route 70 E, Suite 1a, Brick, NJ 08723 | 2016-07-29 |
| Find all providers in zip 08723 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215563184 | Lisa Marie Dittman | Counselor | 3 Creek Rd, Brick, NJ 08724-3305 | 2020-03-22 |
| 1730565748 | Melissa Murphy | Counselor | 220 Jack Martin Blvd # E2, Brick, NJ 08724-7772 | 2015-08-03 |
| 1689008245 | Anne Elizabeth Heinrichs | Counselor | 1451 Route 88 Ste 4b, Brick, NJ 08724-2371 | 2013-08-30 |
| 1346579661 | Deanna L Dicorcia | Counselor | 95 Bayview Dr, Brick, NJ 08723-7452 | 2009-12-16 |
| 1376688986 | Life Excel, LLC | Counselor | 35 Beaverson Blvd Ste 1d, Brick, NJ 08723-7854 | 2007-02-21 |
| 1043304876 | Thomas Chemris, Lcsw,llc | Counselor | 1613 Rte 88 West Suite6, Brick, NJ 08724 | 2006-10-03 |
| 1710995139 | Clifford Vincent Vannest | Counselor | 1868 Route 88, Brick, NJ 08724-3535 | 2006-08-03 |
| 1972570216 | Eileen Delhagen | Counselor | 2095 Route 88, Suite 3, Brick, NJ 08724-3265 | 2006-03-07 |
| 1558847343 | Coral June Clark | Counselor | 1500 Route 88 W, Brick, NJ 08724-2320 | 2018-07-14 |
| 1649767609 | Alexandra Howlett | Counselor | 1500 Route 88, Brick, NJ 08724-2320 | 2018-04-16 |
| Find all providers in BRICK | ||||
Please comment or provide details below to improve the information on KING OF HEARTS LIFE ENHANCEMENT CENTER.
| 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.