Individual provider Active NPI

Kevin Kassick, LPC, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Phillipsburg, NJ
National Provider Identifier
1902882491
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00056808 Issued in NJ
Practice address
305 Roseberry St
Suite 8
Phillipsburg, NJ 08865-1600
Phone
(908) 454-7244
Fax
(908) 859-2109
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00056808 NJ Primary
Mental Health Counselor 101YM0800X 37PC00042400 NJ

Addresses

Primary practice location

305 Roseberry St
Suite 8
Phillipsburg, NJ 08865-1600

Mailing address

305 Roseberry St
Suite 8
Phillipsburg, NJ 08865-1600
Phone (908) 454-7244

Other identifiers 1

IdentifierTypeStateIssuer
P3440976OtherNJOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240309000148 NJ Practitioner - Mental Health Counselor 0446672570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Warren Physician Group PCGroup PAC ID 9739093675, 374 clinicians

Practice addresses (Care Compare)

279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546

305 Roseberry St
Suite 8
Phillipsburg, NJ 08865-1600
Phone (908) 454-7244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00056808NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC CurrentSince Feb 5, 2024 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Feb 5, 2024 Accepting new patients

Locations

305 Roseberry St
Ste 8
Phillipsburg, NJ 08865
Phone (908) 454-7244

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902882491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ROSEBERRY ST",
            "address_2": "SUITE 8",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651600",
            "telephone_number": "908-454-7244",
            "fax_number": "908-859-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ROSEBERRY ST",
            "address_2": "SUITE 8",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651600",
            "telephone_number": "908-454-7244",
            "fax_number": "908-859-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSICK",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "LPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00056808",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00042400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3440976",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.