KRISTINA GEARTY MA, LAC, NCC
NPI 1659025542
Counselor in Newark, NJ

Active since February 09, 2022
1091-1093 BROAD STREET, NEWARK, NJ 07114(973) 623-0600(973) 621-8623 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kristina Gearty Ma, Lac, Ncc NPPES

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

KRISTINA GEARTY MA, LAC, NCC (NPI 1659025542) is an individual counselor in Newark, New Jersey, licensed in New Jersey (37AC00624500) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1659025542
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKRISTINA GEARTYCredential: MA, LAC, NCC
Location Address1091-1093 BROAD STREETNewark, NJ 07114
Mailing Address1091-1093 Broad StreetNewark, NJ 07114 · (973) 623-0600 · Fax (973) 621-8623
Fax(973) 621-8623
Sole ProprietorNo
Enumeration DateFebruary 9, 2022
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 23, 2024
NPI 1659025542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NJ · 37AC00624500
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1091-1093 BROAD STREET, Newark, NJ 07114

Other Providers at the Same Location NPPES 2

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

Social Worker
1091-1093 BROAD STREET
NEWARK, NJ 07114
Registered Nurse (Addiction (Substance Use Disorder))
1091-1093 BROAD STREET
NEWARK, NJ 07114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659025542, enumerated as an "individual" on February 09, 2022.

The provider is located at 1091-1093 BROAD STREET NEWARK, NJ 07114 and the phone number is (973) 623-0600.

Counselor with taxonomy code 101Y00000X.