Individual provider Active NPI

Kristen Creed

  • Professional Counselor
  • Manasquan, NJ
National Provider Identifier
1760107650
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00365800 Issued in NJ
Practice address
2399 Route 34 BLDG A5
Manasquan, NJ 08736-1500
Phone
(732) 528-5533
Fax
(732) 528-0360
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00365800 NJ Primary

Addresses

Primary practice location

2399 Route 34 BLDG A5
Manasquan, NJ 08736-1500

Mailing address

500 Moore Rd
Neptune, NJ 07753-5511
Phone (732) 513-7906

Other practice location 1

500 Moore Rd
Neptune, NJ 07753-5511
Phone (732) 513-7906

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
I20240102000012 NJ Practitioner - Mental Health Counselor 4284910365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

2399 Route 34
BLDG A5
Manasquan, NJ 08736-1500
Phone (732) 528-5533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Feingold MD LLC Current Accepting new patients
Consensus Medical Group LLC CurrentSince Jan 1, 2024 Accepting new patients
The Arc Ocean County Chapter, Inc PastSince Mar 4, 2021 Accepting new patients
CMG Medical Group I LLC Past Accepting new patients

Locations

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008

2399 Route 34
Bldg A5
Manasquan, NJ 08736
Phone (732) 528-5533

2399 Route 34
Manasquan, NJ 08736
Phone (732) 206-0258

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

Interoperability endpoints

  • Direct secure messaging: kristen.creed.1@18614.direct.athenahealth.com

Organizations & group practices 4

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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1760107650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MOORE RD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077535511",
            "telephone_number": "732-513-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 ROUTE 34 BLDG A5",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361500",
            "telephone_number": "732-528-5533",
            "fax_number": "732-528-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Moore Rd",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077535511",
            "country_code": "US",
            "telephone_number": "732-513-7906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREED",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00365800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.