Kristen Julia Masse

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

460 N Main St Ste 205
Glen Ellyn, IL 60137-5176

Phone

(630) 469-4699

NPI assigned

Dec 29, 2023

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1780453837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HIGHLAND AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373822",
            "telephone_number": "312-550-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N MAIN ST STE 205",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375176",
            "telephone_number": "630-469-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSE",
        "first_name": "KRISTEN",
        "middle_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Martin, SCHOOL PSYCHOLOGIST
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• Marvelous Minds, Inc
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• James S Matela, DPT
• Panorea Mathews-Kukla, MD
• Mava Healthcare Systems PLLC
• Anne C Maynard, CNP
• Anna Margaret Weber Mayo, PT, DPT

• Mental Health Counselor in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.