Kayeann Margaret Mason, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12756 Issued in MN

Practice address

625 Snelling Ave N.
#5
St. Paul, MN 55104

Phone

(651) 304-6026

Fax

(651) 304-6027

NPI assigned

Jul 3, 2006

Last updated

Oct 7, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Journeys: a Pathway /to Healing, LLC

  • Clinical Social Worker
  • Fridley, MN
  • NPI 1386202091
  NPD (past)
• Your Story Matters Counseling

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1396424446
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1225068703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SNELLING AVE N.",
            "address_2": "#5",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-304-6026",
            "fax_number": "651-304-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SNELLING AVE N.",
            "address_2": "#5",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-304-6026",
            "fax_number": "651-304-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KAYEANN",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "12756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "928175400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick F. Mascia, D.D.S.
• Krista Masek
• Karrie Catherine Masog
• Alexander Michael Mason, MD
• Elijah Mason
• Shawn Mason, LPCC
• Massage Geek LLC (Massage Geek)
• Kacie Jo Massey, PA-C
• Kelsey Jane Morell Massie, LICSW, MSW
• Chala Massinople, CNM

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.