Kelly A Hasson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13155-MH-CC Issued in MA

Practice address

80 Apple Blossom Way
Stow, MA 01775-1388

Phone

(508) 254-8703

Fax

(508) 634-6984

NPI assigned

Jun 4, 2012

Last updated

Jul 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Luminary Counseling LLC

  • Community/Behavioral Health Agency
  • Stow, MA
  • NPI 1265024376
  NPD

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1063773323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 APPLE BLOSSOM WAY",
            "city": "STOW",
            "state": "MA",
            "postal_code": "017751388",
            "telephone_number": "508-254-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 APPLE BLOSSOM WAY",
            "city": "STOW",
            "state": "MA",
            "postal_code": "017751388",
            "telephone_number": "508-254-8703",
            "fax_number": "508-634-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSON",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "13155-MH-CC",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shealee Marie Engen, IHPL2
• Julie Gariepy, M.S., CCC-SLP
• Laura Greene
• Thomas Handrick
• Lara R Harris-David, LICSW
• Stephen H Howard, LIC. AC.
• Innerspring Acupuncture & Wellbeing Inc. (InnerSpring WellBeing)
• Innerspring Acupuncture & Wellbeing Inc.
• Madison Herel Jackson, CNM
• JMM Counseling LLC

• Mental Health Counselor in Stow, MA
• Providers in Stow, 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 22, 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.

Verify at the official NPI Registry.