Individual provider Active NPI

Benjamin Kieserman I, LSW

  • Mental Health Counselor
  • Cherry Hill, NJ
National Provider Identifier
1730006172
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SL07214700 Issued in NJ
Practice address
5 Knoll LN
Cherry Hill, NJ 08002-1617
Phone
(609) 313-9280
NPI assigned
Jul 6, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 44SL07214700 NJ Primary

Addresses

Primary practice location

5 Knoll LN
Cherry Hill, NJ 08002-1617

Mailing address

5 Knoll LN
Cherry Hill, NJ 08002-1617
Phone (609) 313-9280

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

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1730006172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KNOLL LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021617",
            "telephone_number": "609-313-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KNOLL LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021617",
            "telephone_number": "609-313-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESERMAN",
        "first_name": "BENJAMIN",
        "name_suffix": "I",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL07214700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.