IndividualActive
Kimberly Samra, LAC
NPI 1699374645 · Mental Health Counselor · Ridgewood, NJ
Kimberly Samra, LAC is a Mental Health Counselor provider in Ridgewood, NJ (NPI 1699374645).
Provider details
- NPI number
- 1699374645
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- License
- AC-GTL-20-01847 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 Chestnut St
Ridgewood, NJ 07450-2504
Phone: (201) 444-3550
Street-level locationGet directions
Mailing address
120 Chestnut St
Ridgewood, NJ 07450-2504
Registry dates
- Enumerated
- 2020-10-21
- Last updated
- 2020-10-21
- Certified
- 2020-10-21
Frequently asked questions
- What is Kimberly Samra's NPI number?
- Kimberly Samra's National Provider Identifier (NPI) is 1699374645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Samra's specialty?
- Kimberly Samra is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Kimberly Samra located?
- Kimberly Samra's practice location on file with NPPES is 120 Chestnut St, Ridgewood, NJ 07450-2504.
- What is Kimberly Samra's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Samra is (201) 444-3550.
- Is Kimberly Samra's NPI active?
- Yes — Kimberly Samra's NPI (1699374645) is active in the NPPES registry as of the last update on 2020-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.