Kerry Eileen McCann, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37AC0040300 Issued in NJ

Practice address

155 Chestnut St
Nutley, NJ 07110-2311

Phone

(973) 667-1884

NPI assigned

Jan 11, 2021

Last updated

Jan 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1467041905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MOUNT VERNON PL APT 5A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063115",
            "telephone_number": "201-956-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CHESTNUT ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102311",
            "telephone_number": "973-667-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "KERRY",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC0040300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa E Matarazzo, DPT
• Laura M Matlin, AU.D.
• Vanessa Matos, LPC
• Richard F Mattern, MD
• Jacqueline Mazzone
• Denise C McFadden, MD
• Delphine Anne McMaster, M.D.
• Kaitlyn Mary McTernan, PA-C
• Med Cab Inc
• Medexpress Urgent Care - Northern New Jersey, PC (MedExpress Urgent Care - Nutley, Washington Ave)

• Counselor in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.