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Kimberly Holtsclaw

Counselor - Professional β€’ Ewing, NJ

Active NPI 1386073138 Individual Practitioner Female Practitioner
Practice location in NPPES

2000 Pennington Road, Forcina Hall 413-414
Ewing, NJ 08618

Call 7322616787 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2000 Pennington Road
Forcina Hall 413-414

Ewing, NJ 08618

Telephone 7322616787
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Philadelphia, PA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ewing and New Jersey

20 active clinicians are listed under Counselor - Professional with a practice address in Ewing, NJ (4,116 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ewing

5% of these 20 clinicians have the CMS telehealth indicator.

5% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES NJ 37PC00515400
Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES NJ 37AC00122700

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES PA PC007817
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Secondary Practice Locations

124 Chestnut St Ste 16

Philadelphia, PA 19106

Phone: 7322616787

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 26, 2018

Registered at 2000 PENNINGTON ROAD, FORCINA HALL 413-414, EWING, NJ 08618 (Tel: 7322616787)

πŸ“
Updated Practice Location August 14, 2018

Registered at 124 CHESTNUT ST STE 16, PHILADELPHIA, PA 19106 (Tel: 7322616787)

πŸ“
Updated Business Mailing Address August 14, 2018

Registered at PO BOX 3102, HAMILTON, NJ 086190102 (Tel: 7322616787)

βœ…
NPI Profile Active August 04, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 04, 2015

Registered at 1315 WALNUT ST, SUITE 1619, PHILADELPHIA, PA 191074719 (Tel: 7322616787)

πŸ“
Business Mailing Address (Initial Record) August 04, 2015

Registered at 1315 WALNUT ST, SUITE 1619, PHILADELPHIA, PA 191074719 (Tel: 7322616787)

πŸ‘€
Provider Name / Credentials (Initial Record) August 04, 2015

Recorded as KIMBERLY HOLTSCLAW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2015

Counselor (license number reported to NPPES: NJ 37AC00122700)

🟒
Initial NPI Registration & Enumeration November 02, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386073138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2013
Last Update: September 26, 2018
Sole Proprietor: Yes

Mailing Address

Po Box 3102

Hamilton, NJ 086190102

Phone: 7322616787

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.