Active NPI
Kellianne Creighton
- Counselor
- Mansfield, MA
National Provider Identifier
1063138212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 20 Cabot Blvd Ste 227
Mansfield, MA 02048-1183 - Phone
- (508) 589-5333
- NPI assigned
- Oct 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
20 Cabot Blvd Ste 227
Mansfield, MA 02048-1183
Mailing address
301 Poplar St Apt 1
Roslindale, MA 02131-3665
Phone (978) 804-2763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vendetti Wellness Group, PC | Current | Accepting new patients |
Locations
1 Clarks Hl
Ste 302
Framingham, MA 01702
Phone (508) 589-5333
77 Main St
Ste 2
Hopkinton, MA 01748
Phone (508) 589-5333
20 Cabot Blvd
Ste 227
Mansfield, MA 02048
Phone (508) 589-5333
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.
-
- Community/Behavioral Health Agency
- Framingham, MA
- NPI 1952836546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1063138212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 POPLAR ST APT 1",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021313665",
"telephone_number": "978-804-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CABOT BLVD STE 227",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020481183",
"telephone_number": "508-589-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREIGHTON",
"first_name": "KELLIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.