Kiersten Massa, LPC, LCADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

38PC00684500 Issued in NJ

Practice address

1341 Hamburg Tpke Ste 1-5
Wayne, NJ 07470-4042

Phone

(973) 250-8265

NPI assigned

Mar 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mindful Intentions

  • Clinical Social Worker
  • Wayne, NJ
  • NPI 1528754934

  Professional

  NPD

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1922701010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 NOTCH RD",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074388863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 HAMBURG TPKE STE 1-5",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704042",
            "telephone_number": "973-250-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSA",
        "first_name": "KIERSTEN",
        "credential": "LPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "38PC00684500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Warden, MD, PA
• Anjali Narain Masand, M.D.
• Ann Marie Madaline Mascellino, M.D.
• Anthony R. Masino
• Ellen Salb Masnaghetti, LCSW
• Maria G Master
• Hamzah Matalkah, DMD
• Nidal Matalkah, MD
• William A Matarese, MD
• Nuha M Matari, LPC

• Professional Counselor in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.