Active NPI
Alicen L Mosaad, MA, LPC, ACS
- Professional Counselor
- Wyckoff, NJ
National Provider Identifier
1073952628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401013695
- Practice address
- 222 Wiltsie CT
Wyckoff, NJ 07481-2974 - Phone
- (586) 557-9506
- NPI assigned
- Jun 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401013695 | MI | Primary |
Addresses
Primary practice location
222 Wiltsie CT
Wyckoff, NJ 07481-2974
Mailing address
222 Wiltsie CT
Wyckoff, NJ 07481-2974
Phone (586) 557-9506
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013695 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope and Co Counseling | Current | Accepting new patients | |
| Aceso Psychotherapy | Current | 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 and National Provider Directory roles.
-
- Counseling Psychologist
- Hawthorne, NJ
- NPI 1033797766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1073952628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 WILTSIE CT",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074812974",
"telephone_number": "586-557-9506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 WILTSIE CT",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074812974",
"telephone_number": "586-557-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSAAD",
"first_name": "ALICEN",
"middle_name": "L",
"credential": "MA, LPC, ACS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-17",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401013695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyckoff, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.