Marta Miesak, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S-4632 Issued in NJ

Practice address

27 Warren St
Human Services - P.E.S.S.
Somerville, NJ 08876-2921

Phone

(908) 231-6475

Fax

(908) 526-0536

NPI assigned

Sep 18, 2013

Last updated

Sep 18, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

• County of Somerset

  • Public Health or Welfare Agency
  • Somerville, NJ
  • NPI 1417209602
  NPD (past)

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1861828246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 REHILL AVE",
            "address_2": "EMERGENCY ROOM SOMERSET MEDICAL CENTER",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762519",
            "telephone_number": "908-526-4100",
            "fax_number": "908-526-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WARREN ST",
            "address_2": "HUMAN SERVICES - P.E.S.S.",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762921",
            "telephone_number": "908-231-6475",
            "fax_number": "908-526-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIESAK",
        "first_name": "MARTA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "S-4632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bilal Mian, MD
• Nimer Mian
• Laura A Micek-Galinat, MD
• Mid Jersey Endodontic Group
• Middle Path Counseling LLC
• Donna Miesowitz
• William M Miley, PH.D
• Beverly Miller, O.D.
• David Edward Miller, PTA
• Susan Miller, LCSW

• Mental Health Counselor in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.