Active NPI
Kelsey Nicole Perry Massaro, LCMHCA
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1518685866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A17992
- Practice address
- 4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857 - Phone
- (919) 372-4479
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A17992 | NC | Primary |
Addresses
Primary practice location
4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857
Mailing address
203 Hampton Lee CT Apt 1D
Cary, NC 27513-3256
Phone (919) 434-7254
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kelsey@familyfirstchoice.org |
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 |
|---|---|---|---|
| A17992 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Choice Inc | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677283200000",
"number": "1518685866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 HAMPTON LEE CT APT 1D",
"city": "CARY",
"state": "NC",
"postal_code": "275133256",
"telephone_number": "919-434-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 GLENWOOD AVE STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123857",
"telephone_number": "919-372-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSARO",
"first_name": "KELSEY",
"middle_name": "NICOLE PERRY",
"credential": "LCMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2023-02-25",
"certification_date": "2023-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A17992",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kelsey@familyfirstchoice.org",
"affiliation": "N",
"address_1": "4801 Glenwood Ave Ste 200",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276123857",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.