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MS. SUSANA P. GAIA MA, LMHC, LPC
NPI 1689923930
Counselor - Mental Health in Newark, NJ

Active since August 31, 2012Opted out of Medicare · through Jul 30, 2027
290 FERRY ST BSMT A2, NEWARK, NJ 07105(917) 459-2463 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 21, 2017 (2 updates tracked since 2017).

About Ms. Susana P. Gaia Ma, Lmhc, Lpc NPPES

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

MS. SUSANA P. GAIA MA, LMHC, LPC (NPI 1689923930) is an individual mental health provider in Newark, New Jersey, licensed in New York (007828-1) and active in the NPI registry since August 2012. She has opted out of Medicare through July 30, 2027.

NPPES Registry Identity

NPI1689923930
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SUSANA P. GAIACredential: MA, LMHC, LPC
Location Address290 FERRY ST BSMT A2Newark, NJ 07105-3475
Mailing Address5808 Washington St Apt 305West New York, NJ 07093-1583 · (917) 459-2463
Phone(917) 459-2463
Sole ProprietorNo
Enumeration DateAugust 31, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1689923930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 007828-1
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
290 FERRY ST BSMT A2, Newark, NJ 07105
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Susana P. Gaia Ma, Lmhc, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 30, 2025 through July 30, 2027.

Opt-Out Effective DateJuly 30, 2025
Opt-Out In Effect ThroughJuly 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DATERRA PSYCHOTHERAPY AND WELLNESS, INC.
Counselor (Professional)
290 FERRY ST BSMT A2
NEWARK, NJ 07105
Essex County (917) 459-2463

Frequently Asked Questions

What is Susana Gaia's NPI number?

The NPI number assigned to this healthcare provider is 1689923930, enumerated as an "individual" on August 31, 2012.

Where is the provider located?

The provider is located at 290 FERRY ST BSMT A2 NEWARK, NJ 07105 and the phone number is (917) 459-2463.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.