Kristin G. Theofanides, M.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

543 North St
New Bedford, MA 02740-2766

Phone

(508) 984-5566

Fax

(508) 994-5527

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

Practice roles

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.

• KT Counseling LLC

  • Counselor
  • North Falmouth, MA
  • NPI 1578122727
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053515270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 ALDERBERRY LN",
            "city": "EAST FALMOUTH",
            "state": "MA",
            "postal_code": "025364805",
            "telephone_number": "508-540-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 NORTH ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402766",
            "telephone_number": "508-984-5566",
            "fax_number": "508-994-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOFANIDES",
        "first_name": "KRISTIN",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Garden Therapy Services PLLC
• The Professional Counseling Center, Inc
• The Stop & Shop Supermarket Company, LLC
• The Stop & Shop Supermarket Company, LLC
• Jillian M Theobald
• Therapeutic Balance LLC
• Adriana Giulia Thetonia
• Melissa Beth Thibeault
• Amy C Thomas, ANP
• Casey Thomas

• Mental Health Counselor in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.