Ms Ida Rose Kenna, LPC | |
601 Broadway, Bayonne, NJ 07002-3818 | |
(201) 339-9200 | |
(201) 339-7842 |
Full Name | Ms Ida Rose Kenna |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 601 Broadway, Bayonne, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508192907 | NPI | - | NPPES |
0021806 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 37PC00281600 (New Jersey) | Primary |
Entity Name | Optum Medical Care Of New Jersey Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578665048 PECOS PAC ID: 3072650290 Enrollment ID: O20091021000129 |
Mailing Address | Practice Location Address |
---|---|
Ms Ida Rose Kenna, LPC 601 Broadway, Bayonne, NJ 07002-3818 Ph: (201) 339-9200 | Ms Ida Rose Kenna, LPC 601 Broadway, Bayonne, NJ 07002-3818 Ph: (201) 339-9200 |
Dr. Debora Buzinkai, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 168 Avenue B, Bayonne, NJ 07002 Phone: 201-725-2871 | |
Chantell Rivera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Constitution Ave, Bayonne, NJ 07002 Phone: 917-332-9377 | |
Jennifer D Mclaughlin, MA, NCC, LSC, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 473 Broadway Ste 215, Bayonne, NJ 07002 Phone: 201-988-4794 | |
Mercedez Ruiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 654 Avenue C Ste 301, Bayonne, NJ 07002 Phone: 201-743-8889 | |
Marissa Valeriano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 654 Avenue C Ste 301, Bayonne, NJ 07002 Phone: 201-743-8889 | |
Meghan Dahlin, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 154 Avenue E Apt A203, Bayonne, NJ 07002 Phone: 315-708-7799 | |
Mrs. Anais Dupree, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 29 E 29th St, Bayonne, NJ 07002 Phone: 856-378-1832 |