Kevin Kriso, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00313800 Issued in NJ

Practice address

4700 Long Beach Blvd
Long Beach Township, NJ 08008-3926

Phone

(609) 494-1554

Fax

(609) 361-9653

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Long Beach Island Community Center

  • Community/Behavioral Health Agency
  • Long Beach Township, NJ
  • NPI 1942484720
  NPD (past)
• Long Beach Island Community Center, Inc.

  • Mental Health Counselor
  • Long Beach Township, NJ
  • NPI 1518909837

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1376676288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LONG BEACH BLVD",
            "city": "LONG BEACH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080083926",
            "telephone_number": "609-494-1554",
            "fax_number": "609-361-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LONG BEACH BLVD",
            "city": "LONG BEACH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080083926",
            "telephone_number": "609-494-1554",
            "fax_number": "609-361-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISO",
        "first_name": "KEVIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00313800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094251",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Rose Green, PSY.D.,MA.
• Nicoleta Grieco
• Tatiana Guinsburg, MA
• Robert T. Hazlett, LCSW, PH.D
• Dawn Marie Kennedy-Little, D.O.
• Teresa Gray Lewis, LCSW, LMFT
• Long Beach Island Community Center
• Long Beach Island Community Center, Inc.
• Brandi Matz
• Cynthia Nitschmann-Schmoll, D.O.

• Mental Health Counselor in Long Beach Township, NJ
• Providers in Long Beach Township, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.