Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Samra, LAC

Individual provider Mental Health Counselor · NPI 1699374645

Kimberly Samra, LAC is a Mental Health Counselor in Ridgewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2020.

Licensed in
NJ
In the registry since
2020
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

120 Chestnut St
Ridgewood, NJ 07450-2504
Phone: (201) 444-3550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence AC-GTL-20-01847 (NJ)

Record details

NPI number1699374645
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedOctober 21, 2020
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020
Mailing address120 Chestnut St, Ridgewood, NJ 07450-2504

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