Healthcare Provider Details

I. General information

NPI: 1588928600
Provider Name (Legal Business Name): HILARY KROSNEY-REDIKER LPC, LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 TOWN SQUARE PL STE 1238
JERSEY CITY NJ
07310-1810
US

IV. Provider business mailing address

111 TOWN SQUARE PL STE 1238
JERSEY CITY NJ
07310-1810
US

V. Phone/Fax

Practice location:
  • Phone: 732-455-2629
  • Fax:
Mailing address:
  • Phone: 732-455-2629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00275800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC0061500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: