Individual provider Active NPI

Katrina Frances Martino, M.ED, LMHC

  • Mental Health Counselor
  • Andover, MA
National Provider Identifier
1023614088
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC13430 Issued in MA
Practice address
2 Dundee Park Dr Ste 301
Andover, MA 01810-3725
Phone
(978) 396-9866
Fax
(978) 504-2979
NPI assigned
Dec 7, 2020
Last updated
Dec 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 20041 MA
Mental Health Counselor 101YM0800X LMHC13430 MA Primary

Addresses

Primary practice location

2 Dundee Park Dr Ste 301
Andover, MA 01810-3725

Mailing address

2 Dundee Park Dr Ste 301
Andover, MA 01810-3725
Phone (978) 396-9866

Other names 1

  • Katrina Reardon Former name

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
I20231228002450 MA Practitioner - Mental Health Counselor 9234589508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emh Associates PLLCGroup PAC ID 0941650469, 3 clinicians

Practice addresses (Care Compare)

2 Dundee Park Dr
Suite 301
Andover, MA 01810-3725
Phone (978) 396-9866

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20041MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Associates, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Ferreras Counseling LLC Addiction (Substance Use Disorder) PastSince Dec 1, 2020 Accepting new patients

Locations

2 Dundee Park Dr
Ste 301
Andover, MA 01810
Phone (617) 256-7616

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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1023614088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DUNDEE PARK DR STE 301",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103725",
            "telephone_number": "978-396-9866",
            "fax_number": "978-504-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUNDEE PARK DR STE 301",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103725",
            "telephone_number": "978-396-9866",
            "fax_number": "978-504-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "KATRINA",
        "middle_name": "FRANCES",
        "credential": "M.ED, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "20041",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC13430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "REARDON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.