=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356275564
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANAM CARA COUNSELING AND SUPERVISION, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/11/2026
-----------------------------------------------------
Last Update Date | 06/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8 LOMBARDY ST STE 41232
-----------------------------------------------------
City | NEWARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07102-3210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-446-0206
-----------------------------------------------------
Fax | 833-466-1446
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8 LOMBARDY ST STE 41232
-----------------------------------------------------
City | NEWARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07102-3210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-446-0206
-----------------------------------------------------
Fax | 833-466-1446
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KAREN HELMES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 267-446-0206
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------