MEDICARE: NURTURED ROOTS COUNSELING NEW JERSEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1265383558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURTURED ROOTS COUNSELING NEW JERSEY

Provider Business Mailing Address
First Line	:	1 CLIFFWOOD TER APT 1
Second Line	:
City	:	EAST RUTHERFORD
State	:	NJ
Zip	:	07073-1110
Country	:	US
Telephone Number	:	973-897-3622
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 CLIFFWOOD TER APT 1
Second Line	:
City	:	EAST RUTHERFORD
State	:	NJ
Zip	:	07073-1110
Country	:	US
Telephone Number	:	973-897-3622
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KAITLYNN PATRICIA TURRE
Credential	:	LCSW
Telephone Number	:	973-897-3622

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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