AMANDA KUCSERA (NPI# 1922668425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922668425 |
Entity Type | Individual |
Full Name | AMANDA KUCSERA |
Credential | LAC |
Practice Address |
67 Walnut Ave Ste 207 Clark NJ 07066-1640 |
Mailing Address |
175 E Hawthorn Pkwy Ste 235 Vernon Hills IL 60061-1454 |
Practice Telephone | 7329822888 |
Practice Fax Number | 8478595885 |
Mailing Telephone | 8477378768 |
Mailing Fax Number | 8478595885 |
Enumeration Date | 2019-06-17 |
Last Update Date | 2019-06-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
37AC00438100 | NJ | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3499 Rte 9 Ste 2c, Freehold, NJ 077283277 | 7329822888 | 8478595885 |
Street Address |
67 WALNUT AVE STE 207 |
City | CLARK |
State | NJ |
Zip Code | 07066-1640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295171775 | James William Gordon Jr. | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2013-05-10 |
1407453673 | Eurica Pinthieve | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2020-10-01 |
1093342347 | Anne-marie Urbanski | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2020-03-26 |
1295360774 | Alison Kulick | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2020-03-05 |
1093354003 | Gurlynn Singh | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2019-12-23 |
1487298659 | Wendy Baum | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2019-10-31 |
1407497423 | Lisa Sanfilippo | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2019-10-01 |
1710536495 | Meghan Yahrling | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2019-09-05 |
1679036966 | Jaclyn Wronski | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2019-04-12 |
1528527132 | Marta Laskowski | Dietitian, Registered | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2019-03-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215491493 | Diane Juanita Pearson | Counselor | 49 Brant Ave Suit 3, Massler Psychological Associates, Clark, NJ 07066 | 2019-01-22 |
1356831754 | Christopher Dasilva | Physical Therapist | 77 Brant Avenue, Suite 101, Clark, NJ 07066 | 2018-05-11 |
1205350030 | City Medical of New Jersey, PC | Clinic/Center | Rarity Unit F4b, 1225 Raritan Road, Clark, NJ 07066 | 2017-08-02 |
1184150682 | Fyzical Therapy & Balance Center | Physical Therapist | 132-1 Westfield Ave, Clark, NJ 07066 | 2017-05-04 |
1164829826 | Adavanced Spine Rehabilitation LLC | Chiropractor | 1171 Old Raritan Rd, Clark, NJ 07066 | 2014-11-24 |
1083838395 | Stephen D Bosonac | Dentist | 979 Raritan Road, Clark, NJ 07066 | 2007-04-11 |
1972637965 | Jay Andrew Paris | Chiropractor | 67 Westfield Ave, Clark, NJ 07066 | 2007-03-14 |
1821121484 | David Kinley Jr. | Acupuncturist | 668 Raritan Rd, Clark, NJ 07066 | 2007-03-13 |
1811036122 | Betty C Mclendon | Psychologist | 623 Raritan Road, Clark, NJ 07066 | 2007-02-05 |
1710039623 | Cornerstone Physical Therapy Inc | Physical Therapist | 152 Central Ave 2nd Floor, Clark, NJ 07066 | 2007-01-18 |
Find all providers in zip 07066 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215491493 | Diane Juanita Pearson | Counselor | 49 Brant Ave Suit 3, Massler Psychological Associates, Clark, NJ 07066 | 2019-01-22 |
1942701198 | Garden State Psychological Associates, LLC | Counselor | 49 Brant Ave Ste 3, Clark, NJ 07066-1550 | 2018-02-23 |
1295171775 | James William Gordon Jr. | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2013-05-10 |
1881870517 | Frank D Papandrea | Counselor | 4 Valley Rd, Clark, NJ 07066-1505 | 2008-01-11 |
1407453673 | Eurica Pinthieve | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2020-10-01 |
1205445046 | Vanessa Ming | Counselor | 49 Brant Ave Ste 3, Clark, NJ 07066-1550 | 2020-07-28 |
1093342347 | Anne-marie Urbanski | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2020-03-26 |
1295360774 | Alison Kulick | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2020-03-05 |
1093354003 | Gurlynn Singh | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2019-12-23 |
1487298659 | Wendy Baum | Counselor | 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 | 2019-10-31 |
Find all providers in CLARK |
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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.