Kristin Manusama, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011845 Issued in NY

Practice address

60 Pleasant Dr
Brewster, NY 10509-3918

Phone

(845) 558-9917

NPI assigned

Apr 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kristin Manusama Mental Health Counseling PLLC

  • Mental Health Counselor
  • Brewster, NY
  • NPI 1588398192
  NPD Authorized official

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1841932266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PLEASANT DR",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105093918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PLEASANT DR",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105093918",
            "telephone_number": "845-558-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUSAMA",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Simplepractice",
            "affiliation": "N",
            "address_1": "60 Pleasant Dr",
            "city": "Brewster",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105093918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Mancini
• Paul G Mangiafico, MD
• Matthew R Mannini, DO
• Michele Mannion, M.D.
• Danielle Manno
• William Joseph Margiotta, RN
• Joseph N Marino, DMD
• Danielle Markert
• Ronen Marmur, MD
• Christine Marra, LMSW

• Mental Health Counselor in Brewster, NY
• Providers in Brewster, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.