Susana P. Gaia, MA, LMHC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007828-1 Issued in NY

Practice address

290 Ferry St BSMT A2
Newark, NJ 07105-3475

Phone

(917) 459-2463

NPI assigned

Aug 31, 2012

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jul 30, 2025 through Jul 30, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Daterra Psychotherapy and Wellness, Inc.

  • Professional Counselor
  • Newark, NJ
  • NPI 1467964734

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689923930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 WASHINGTON ST APT 305",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931583",
            "telephone_number": "917-459-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 FERRY ST BSMT A2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053475",
            "telephone_number": "917-459-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIA",
        "first_name": "SUSANA",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007828-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone Lembe Gadpaille, MD
• Jennifer Gadsden
• Paul Joseph Gaglio Sr., MD
• Doreen Gagnon, APRN, BC
• Genevieve Gagnon, DMD
• Maged Roshday Gaid, PHARM D
• Danielle Gaillard
• Raksha J Gajarawala, MD
• Ayush Gajera, RPH
• Dhir Niren Gala, MD

• Mental Health Counselor in Newark, NJ
• Providers in Newark, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.