KIMBERLY SAMRA LAC
NPI 1699374645
Counselor - Mental Health in Ridgewood, NJ

Active since October 21, 2020
120 CHESTNUT ST, RIDGEWOOD, NJ 07450(201) 444-3550 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Samra Lac NPPES

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

KIMBERLY SAMRA LAC (NPI 1699374645) is an individual mental health provider in Ridgewood, New Jersey, licensed in New Jersey (AC-GTL-20-01847) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1699374645
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY SAMRACredential: LAC
Location Address120 CHESTNUT STRidgewood, NJ 07450-2504
Mailing Address120 Chestnut StRidgewood, NJ 07450-2504 · (201) 444-3550
Sole ProprietorNo
Enumeration DateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
NPI 1699374645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NJ · AC-GTL-20-01847
120 CHESTNUT ST, Ridgewood, NJ 07450

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.

Social Worker (Clinical)
120 CHESTNUT ST
RIDGEWOOD, NJ 07450
Social Worker (Clinical)
120 CHESTNUT ST
RIDGEWOOD, NJ 07450
Counselor (Mental Health)
120 CHESTNUT ST
RIDGEWOOD, NJ 07450
Social Worker
120 CHESTNUT ST
RIDGEWOOD, NJ 07450
Social Worker
120 CHESTNUT ST
RIDGEWOOD, NJ 07450
Social Worker
120 CHESTNUT ST
RIDGEWOOD, NJ 07450
Social Worker (Clinical)
120 CHESTNUT ST
RIDGEWOOD, NJ 07450
Counselor (Mental Health)
120 CHESTNUT ST
RIDGEWOOD, NJ 07450

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 Kimberly Samra's NPI number?

The NPI number for Kimberly Samra is 1699374645. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Where is Kimberly Samra located?

Kimberly Samra practices at 120 Chestnut St, Ridgewood, NJ 07450. The listed phone number is (201) 444-3550.

What is Kimberly Samra's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kimberly Samra was last updated on October 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.