Kristen Misyak, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05926700 Issued in NJ

Practice address

151 Fries Mill Rd Ste 404
Turnersville, NJ 08012-2016

Phone

(856) 302-5728

NPI assigned

Jun 18, 2020

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

Other names 1

• Kristen Webb Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Beyond Counseling, LLC

  • Mental Health Counselor
  • Turnersville, NJ
  • NPI 1710461660
  NPD (past)

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1851917652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 HILL LN",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321541",
            "telephone_number": "856-777-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 FRIES MILL RD STE 404",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122016",
            "telephone_number": "856-302-5728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Fries Mill Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Turnersville",
            "state": "NJ",
            "postal_code": "080122016",
            "country_code": "US",
            "telephone_number": "844-542-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISYAK",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05926700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "WEBB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler Milane, OBAT NAVIGATOR
• Tanya Milask, CRNA
• Michael J. Miranda, D.C.
• Joseph Anthony Mirarchi, D.P.M.
• John J Mirrione, DMD
• Kristen Leigh Monaghan, APRN, FNP-C
• Marc Thomas Mongeau, D.O.
• Angela Moore, PHD, MA, LAC, BC-HSP
• Yalonda D Moore
• Lynn Marie Moreno-Buckmon, MSED, NCC, LPC

• Clinical Social Worker in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.