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MR. KEVIN BRISTER CADC
NPI 1154148401
Counselor in Newark, NJ

Active since September 26, 2024
461 FRELINGHUYSEN AVE, NEWARK, NJ 07114(973) 596-2850(973) 596-8180 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin Brister Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN BRISTER CADC (NPI 1154148401) is an individual counselor in Newark, New Jersey, licensed in New Jersey (37CA00112200) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1154148401
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. KEVIN BRISTERCredential: CADC
Location Address461 FRELINGHUYSEN AVENewark, NJ 07114-1404
Mailing Address461 Frelinghuysen AveNewark, NJ 07114-1404 · (973) 596-2850 · Fax (973) 596-8180
Phone(973) 596-2850
Fax(973) 596-8180
Sole ProprietorNo
Enumeration DateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
✔ NPI 1154148401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NJ · 37CA00112200
Definition
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.
461 FRELINGHUYSEN AVE, Newark, NJ 07114
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE LENNARD CLINIC, INC
Clinic/Center (Methadone)
461 FRELINGHUYSEN AVE
NEWARK, NJ 07114
Essex County (973) 596-2850
VERA DAVIS
Case Manager/Care Coordinator
461 FRELINGHUYSEN AVE
NEWARK, NJ 07114
Essex County (973) 596-2850
MRS. YVONNE ROUSE-DIXON
Counselor (Addiction (Substance Use Disorder))
461 FRELINGHUYSEN AVE
NEWARK, NJ 07114
Essex County (973) 596-2850
MR. STEPHEN JOHN THOMAS SR. LCADC
Counselor (Addiction (Substance Use Disorder))
461 FRELINGHUYSEN AVE
NEWARK, NJ 07114
Essex County (973) 596-2850
JUDITH ANN BRAZIER
Case Manager/Care Coordinator
461 FRELINGHUYSEN AVE
NEWARK, NJ 07114
Essex County (973) 596-2850
MARIA SORTIZZA
Case Manager/Care Coordinator
461 FRELINGHUYSEN AVE
NEWARK, NJ 07114
Essex County (973) 596-2850
ENRIQUE GONZALEZ I CADC
Counselor (Addiction (Substance Use Disorder))
461 FRELINGHUYSEN AVE
NEWARK, NJ 07114
Essex County (973) 596-2850
OLUWAFUNTO ABIGAEL ADEKOYA
Case Manager/Care Coordinator
461 FRELINGHUYSEN AVE
NEWARK, NJ 07114
Essex County (973) 596-2850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Brister's NPI number?

The NPI number for Kevin Brister is 1154148401. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Where is Kevin Brister located?

Kevin Brister practices at 461 Frelinghuysen Ave, Newark, NJ 07114. The listed phone number is (973) 596-2850.

What is Kevin Brister's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kevin Brister was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.