Individual provider Active NPI

Kathy Difraia, M.ED., LMHC, CCTP

  • Mental Health Counselor
  • Amesbury, MA
National Provider Identifier
1003139262
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4 Water St Ste 4
Amesbury, MA 01913-2937
Phone
(978) 992-8257
NPI assigned
Mar 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4 Water St Ste 4
Amesbury, MA 01913-2937

Mailing address

4 - 6 Water Street
#4
Amesbury, MA 01913
Phone (978) 992-8257

Other practice location 1

15 union street
south bay mental health
lawrence, MA 01840-3803
Phone (978) 688-4830 ext. 308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250813000475 MA Practitioner - Mental Health Counselor 6800394412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blu Sage Counseling Services, LLCGroup PAC ID 5991203507, 2 clinicians

Practice addresses (Care Compare)

4 Water St
Suite 4
Amesbury, MA 01913-2937
Phone (617) 970-8161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Blu Sage Counseling Services, LLC CurrentSince Jul 22, 2025 Accepting new patients

Locations

4 Water St
Ste 4
Amesbury, MA 01913
Phone (617) 970-8161

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1003139262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 - 6 WATER STREET",
            "address_2": "#4",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "01913",
            "telephone_number": "978-992-8257",
            "fax_number": "978-792-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WATER ST STE 4",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132937",
            "telephone_number": "978-992-8257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 union street",
            "address_2": "south bay mental health",
            "address_purpose": "LOCATION",
            "city": "lawrence",
            "state": "MA",
            "postal_code": "018403803",
            "country_code": "US",
            "telephone_number": "978-688-4830 x308",
            "fax_number": "978-688-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIFRAIA",
        "first_name": "KATHY",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LMHC, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

Verify at the official NPI Registry.