Individual provider Active NPI

Daniel Jackson Massey Jr., LPC, LCADC

  • Professional Counselor
  • Hackettstown, NJ
National Provider Identifier
1598234536
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00930200 Issued in NJ
Practice address
121 Shelley Dr Ste 2E
Hackettstown, NJ 07840-2530
Phone
(646) 872-7488
Fax
(908) 979-1600
NPI assigned
Nov 20, 2018
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00290300 NJ
Professional Counselor 101YP2500X 37PC00930200 NJ Primary

Addresses

Primary practice location

121 Shelley Dr Ste 2E
Hackettstown, NJ 07840-2530

Mailing address

121 Shelley Dr Ste 2E
Hackettstown, NJ 07840-2530
Phone (646) 872-7488

Other identifiers 1

IdentifierTypeStateIssuer
1326412008OtherNJNPI 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903001106 NJ Practitioner - Mental Health Counselor 4385183227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00290300NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling and Mindfulness Group Addiction (Substance Use Disorder) CurrentSince Aug 16, 2024 Accepting new patients

Locations

121 Shelley Dr
Ste 2E
Hackettstown, NJ 07840
Phone (908) 303-3850

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1598234536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SHELLEY DR STE 2E",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402530",
            "telephone_number": "646-872-7488",
            "fax_number": "908-979-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SHELLEY DR STE 2E",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402530",
            "telephone_number": "646-872-7488",
            "fax_number": "908-979-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "DANIEL",
        "middle_name": "JACKSON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-20",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00290300",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00930200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2",
            "identifier": "1326412008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.