Active NPI
Kaitlyn Elena Maceira, LMHC, CASAC
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1376807826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 006304
- Practice address
- 235 Adams St
Apt 11E
Brooklyn, NY 11201-2858 - Phone
- (914) 400-5447
- NPI assigned
- Jun 29, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 006304 | NY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 29295 | NY |
Addresses
Primary practice location
235 Adams St
Apt 11E
Brooklyn, NY 11201-2858
Mailing address
235 Adams St
Apt 11E
Brooklyn, NY 11201-2858
Phone (914) 400-5447
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29295 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 006304 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1376807826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 ADAMS ST",
"address_2": "APT 11E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012858",
"telephone_number": "914-400-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 ADAMS ST",
"address_2": "APT 11E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012858",
"telephone_number": "914-400-5447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACEIRA",
"first_name": "KAITLYN",
"middle_name": "ELENA",
"credential": "LMHC, CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006304",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "29295",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.