Kole Mason, PSY.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301018926 Issued in MI

Practice address

124 Pearl St Ste 207
Ypsilanti, MI 48197-5375

Phone

(734) 945-6210

NPI assigned

Apr 16, 2020

Last updated

Jul 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

• Attune to Self - Counseling and Consultation, PLLC

  • Counseling Psychologist
  • Dexter, MI
  • NPI 1013640622
  NPD Authorized official
• Integrative Empowerment Group, PLLC

  • Psychologist
  • Ypsilanti, MI
  • NPI 1114359882
  NPD

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1790305068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481300384",
            "telephone_number": "814-746-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PEARL ST STE 207",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975375",
            "telephone_number": "734-945-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8005 Main St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Dexter",
            "state": "MI",
            "postal_code": "481301027",
            "country_code": "US",
            "telephone_number": "814-746-8746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "KOLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301018926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary L Masch, DDS
• William Roger Masch, M.D.
• Karla Maschalko, TLLP
• Angela Masinde, MA, LLPC, ATR-P
• Michael Alipio Masini, MD
• Nisha Mason, DOULA
• Ahmad Bilal Masood, MD
• Teiara Massey
• Marc S Mastropaolo, DO
• Anita Matharoo

• Counseling Psychologist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.