Individual provider Active NPI

Rachel Louise Kiefer-Casella, CPRS

  • Peer Specialist
  • Brick, NJ
National Provider Identifier
1801517628
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
50201 Issued in NJ
Practice address
150 Brick Blvd
Brick, NJ 08723-7182
Phone
(732) 458-2180
Fax
(732) 458-2185
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 50201 NJ Primary
Peer Specialist 175T00000X 50039 NJ

Addresses

Primary practice location

150 Brick Blvd
Brick, NJ 08723-7182

Mailing address

150 Brick Blvd
Brick, NJ 08723-7182
Phone (732) 458-2180

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

State licenses

LicenseStateTypeSpecialty
50039NJMDPeer Specialist
50201NJMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1801517628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237182",
            "telephone_number": "732-458-2180",
            "fax_number": "732-458-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237182",
            "telephone_number": "732-458-2180",
            "fax_number": "732-458-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFER-CASELLA",
        "first_name": "RACHEL",
        "middle_name": "LOUISE",
        "credential": "CPRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NJ",
            "license": "50201",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NJ",
            "license": "50039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.