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MASON ALAN DECAMBALIZA
NPI 1245099589
Counselor - Professional in New Brighton, MN

Active since March 18, 2024
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112(651) 628-9566 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2024, Apr 6, 2024 (2 updates tracked since 2024).

About Mason Alan Decambaliza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASON ALAN DECAMBALIZA (NPI 1245099589) is an individual professional provider in New Brighton, Minnesota and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1245099589
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMASON ALAN DECAMBALIZA
Location Address1900 SILVER LAKE RD NWNew Brighton, MN 55112-1786
Mailing Address1900 Silver Lake Rd NwNew Brighton, MN 55112-1786 · (866) 953-2634
Phone(651) 628-9566
Sole ProprietorNo
Enumeration DateMarch 18, 2024
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1245099589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1900 SILVER LAKE RD NW, New Brighton, MN 55112
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY GAVIC MSW, LICSW
Social Worker (Clinical)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
JENNIFER PERRI
Marriage & Family Therapist
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
NATHAN HOCKERT
Physician Assistant (Medical)
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112
Ramsey County (165) 162-8956
JACK LESLIE HINRICHS MA, LMFT
Marriage & Family Therapist
1900 SILVER LAKE RD NW, SUITE110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
KATHLEEN ANN SPIRY LICSW
Social Worker (Clinical)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
KRISTEN MCLESKEY
Counselor (Mental Health)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
AMANDA LOUISE WEGNER BS
Counselor (Mental Health)
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9556
DAVID KEARN
Psychologist (Clinical)
1900 SILVER LAKE RD NW, #110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mason Decambaliza's NPI number?

The NPI number for Mason Decambaliza is 1245099589. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Mason Decambaliza located?

Mason Decambaliza practices at 1900 Silver Lake Rd NW, New Brighton, MN 55112. The listed phone number is (651) 628-9566.

What is Mason Decambaliza's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mason Decambaliza was last updated on April 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.