Individual provider Active NPI

Krysten Maselli, LMHC

  • Mental Health Counselor
  • Delray Beach, FL
National Provider Identifier
1932503778
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16455 Issued in FL
Practice address
15200 S Jog Rd Ste 303
Delray Beach, FL 33446-1249
Phone
(561) 503-3059
NPI assigned
Oct 21, 2014
Last updated
Nov 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Mental Health Counselor 101YM0800X MH16455 FL Primary

Addresses

Primary practice location

15200 S Jog Rd Ste 303
Delray Beach, FL 33446-1249

Mailing address

15200 S Jog Rd Ste 303
Delray Beach, FL 33446-1249
Phone (561) 503-3059

Other practice location 1

1779 N Congress Ave # 336
Boynton Beach, FL 33426-8205
Phone (800) 686-5614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231218002412 FL Practitioner - Mental Health Counselor 2567811425 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marriage & Family Services, Inc. CurrentSince Dec 13, 2023 Accepting new patients
Developmental Intervention Specialists Past Accepting new patients

Locations

15204 S Jog Rd
Ste 303
Delray Beach, FL 33446
Phone (561) 503-3059

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1932503778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 S JOG RD STE 303",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461249",
            "telephone_number": "561-503-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 S JOG RD STE 303",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461249",
            "telephone_number": "561-503-3059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1779 N Congress Ave # 336",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334268205",
            "country_code": "US",
            "telephone_number": "800-686-5614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASELLI",
        "first_name": "KRYSTEN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.