Provider Demographics
NPI:1073978052
Name:THE KRAFT GROUP, INC.
Entity Type:Organization
Organization Name:THE KRAFT GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLODNY-KRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCADC, CSAT-S
Authorized Official - Phone:862-485-0328
Mailing Address - Street 1:123 COLUMBIA TPKE STE 201A
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2192
Mailing Address - Country:US
Mailing Address - Phone:862-485-0328
Mailing Address - Fax:973-520-8540
Practice Address - Street 1:123 COLUMBIA TPKE STE 201A
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2192
Practice Address - Country:US
Practice Address - Phone:862-485-0328
Practice Address - Fax:973-520-8540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-17
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X, 101YP2500X, 103TB0200X, 106H00000X
NJ44SL06157700101YM0800X, 104100000X
NJ44SL06078100104100000X
NJ44SC056610001041C0700X
NJ44SC055076001041C0700X
NJ25MA039882002084P0800X
NJ25MA087021002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty