Bryce Kasuba, MA, LPC LADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC002908 Issued in PA

Practice address

40 E Benedict Ave
Havertown, PA 19083-2402

Phone

(610) 212-3328

NPI assigned

Apr 1, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Kasuba Design

  • Professional Counselor
  • Upper Darby, PA
  • NPI 1518469477

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1386007839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E BENEDICT AVE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832402",
            "telephone_number": "610-212-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E BENEDICT AVE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832402",
            "telephone_number": "610-212-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASUBA",
        "first_name": "BRYCE",
        "credential": "MA, LPC LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "165",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Timothy Kane
• Vishal Kapoor, PHARMACIST
• Anastasia Karamanides, MD
• Karycare Home Care Inc
• Karycare Home Care Inc
• John G Kaufman, D.C.
• Andrew Michael Kavanagh, MT-BC
• Jack Elias Kazanjian, D.O.
• David Edward Keenan, LCSW
• Kiley Keenan, RDN

• Professional Counselor in Havertown, PA
• Providers in Havertown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.