Kyeisha Hodge, M.S.Ed.
Counselor, Mental Health in West Caldwell, NJ. Individual provider (NPI-1).
NPI number1306286240
StatusActive
Last updated in NPPESNov 19, 2024
Details
- NPI
- 1306286240
- Entity type
- Individual (NPI-1)
- Name
- Kyeisha Hodge
- Credential
- M.S.Ed.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2013
- Certification date
- Nov 19, 2024
- Last updated
- Nov 19, 2024
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 |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LH60680488 | WA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
29 Richard AveWest Caldwell, NJ 07006-7245
Phone 646-420-7750
Mailing address
29 Richard AveWest Caldwell, NJ 07006-7245
Phone 646-420-7750
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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