Kathleen Aveno, LPC
Counselor, Professional in Montclair, NJ. Individual provider (NPI-1).
NPI number1104125558
StatusActive
Last updated in NPPESMar 24, 2011
Details
- NPI
- 1104125558
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Aveno
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2011
- Last updated
- Mar 24, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 37PC00420600 | NJ | Yes |
Practice location
70 S Fullerton AveApt J2
Montclair, NJ 07042-2633
Phone 973-476-6244
Mailing address
70 S Fullerton AveApt J2
Montclair, NJ 07042-2633
Phone 973-476-6244
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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