Individual provider Active NPI

Kiersten McKenzie Garcia-Moran

  • Mental Health Counselor
  • Eastampton Township, NJ
National Provider Identifier
1003582867
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6102 Hamilton Way
Eastampton Township, NJ 08060-1673
Phone
(484) 515-1625
Fax
(609) 400-4888
NPI assigned
Aug 20, 2021
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6102 Hamilton Way
Eastampton Township, NJ 08060-1673

Mailing address

30 Brandywine Rd
Pemberton, NJ 08068-1307
Phone (484) 515-6125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Chrysalis Counseling Center Past Accepting new patients
Sesolutions, Inc. PastSince Aug 28, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1003582867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BRANDYWINE RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681307",
            "telephone_number": "484-515-6125",
            "fax_number": "609-400-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 HAMILTON WAY",
            "city": "EASTAMPTON TOWNSHIP",
            "state": "NJ",
            "postal_code": "080601673",
            "telephone_number": "484-515-1625",
            "fax_number": "609-400-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-MORAN",
        "first_name": "KIERSTEN",
        "middle_name": "MCKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastampton Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.