Stephanie M. Kriesberg, PSY.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6806 Issued in MA

Practice address

3 Essex Green Dr
Suite 1
Peabody, MA 01960-2927

Phone

(978) 532-3993

Fax

(978) 532-6366

NPI assigned

Sep 27, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 18, 2021 through Oct 18, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Gross Young Enterprises, Inc

  dba Leni Gross Young, MA, LMHC

  • Mental Health Counselor
  • Peabody, MA
  • NPI 1891017430
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336230044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WINTERBERRY WAY",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301573",
            "telephone_number": "781-275-7538",
            "fax_number": "781-275-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ESSEX GREEN DR",
            "address_2": "SUITE 1",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602927",
            "telephone_number": "978-532-3993",
            "fax_number": "978-532-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIESBERG",
        "first_name": "STEPHANIE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avis M Kow, M.D.
• Karen J Krag, MD
• Lewis L Kramer, M.D.
• Sarah Judith Krass, LICSW
• James A Kraus, DMD
• Kristen Goffe LMHC
• Rebecca Marie Krol, LICSW
• Nancy Krouse
• Paula Jeanne Krukonis, PT
• Emily Kulkarni

• Mental Health Counselor in Peabody, MA
• Providers in Peabody, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.