Healthcare Provider Details

I. General information

NPI: 1013787084
Provider Name (Legal Business Name): KRISTEN KLIMEK LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN TAYLOR

II. Dates (important events)

Enumeration Date: 01/02/2024
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 WOODROW WILSON DR
EDISON NJ
08820-2919
US

IV. Provider business mailing address

87 OLD CROTON RD
FLEMINGTON NJ
08822-5924
US

V. Phone/Fax

Practice location:
  • Phone: 732-452-2870
  • Fax:
Mailing address:
  • Phone: 908-499-8256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC01259500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: