Provider Demographics
NPI:1255194049
Name:KISELI, KATARINA E (LPC)
Entity type:Individual
Prefix:
First Name:KATARINA
Middle Name:E
Last Name:KISELI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 CARTAGENA DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-7006
Mailing Address - Country:US
Mailing Address - Phone:908-420-3951
Mailing Address - Fax:
Practice Address - Street 1:14 SUNSET RD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-5457
Practice Address - Country:US
Practice Address - Phone:908-420-3951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01162200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional