Individual provider Active NPI

Kaitlyn Elena Maceira, LMHC, CASAC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1376807826
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006304 Issued in NY
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

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
29295NYMDAddiction (Substance Use Disorder) Counselor
006304NYMDMental 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.

Verify at the official NPI Registry.