Active NPI
Lauren Keysha Mason, PH.D.
- Clinical Psychologist
- Bethesda, MD
National Provider Identifier
1194033175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04242
- Practice address
- 4933 Auburn Ave
#205
Bethesda, MD 20814-2631 - Phone
- (202) 321-9117
- NPI assigned
- Sep 23, 2010
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04242 | MD | Primary |
Addresses
Primary practice location
4933 Auburn Ave
#205
Bethesda, MD 20814-2631
Mailing address
4933 Auburn Ave
#205
Bethesda, MD 20814-2631
Phone (202) 321-9117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170411002724 | FL | Practitioner - Clinical Psychologist | 3274818133 | Reassigns benefits to 1 organization |
| I20250210001312 | DC | Practitioner - Clinical Psychologist | 3274818133 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4915 Saint Elmo Ave
Suite 504
Bethesda, MD 20814-6019
Phone (202) 321-9117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04242 | MD | MD | Clinical Social Worker |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1194033175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4933 AUBURN AVE",
"address_2": "#205",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142631",
"telephone_number": "202-321-9117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4933 AUBURN AVE",
"address_2": "#205",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142631",
"telephone_number": "202-321-9117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "LAUREN",
"middle_name": "KEYSHA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-23",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
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- Joseph C. Masdeu, M.D., PH.D.
- Nicholas Masick
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- Andrea Marie Massaro-Cavanaugh, CRNP
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.