Active NPI
Kathleen Isabelle Bain, MA
- Mental Health Counselor
- Saugus, MA
National Provider Identifier
1083365746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1715 Broadway
Saugus, MA 01906-4703 - Phone
- (781) 388-6256
- Fax
- (617) 387-9768
- NPI assigned
- Jan 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1715 Broadway
Saugus, MA 01906-4703
Mailing address
49 Saint Marys St Apt 3
Brookline, MA 02446-8211
Phone (518) 683-5220
Other practice location 1
173 Chelsea St
Everett, MA 02149-4632
Phone (781) 388-6256
Other practice location 2
95 Pleasant St # 1
Lynn, MA 01901-1524
Phone (781) 388-6256
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1083365746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 SAINT MARYS ST APT 3",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024468211",
"telephone_number": "518-683-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 BROADWAY",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019064703",
"telephone_number": "781-388-6256",
"fax_number": "617-387-9768"
}
],
"practiceLocations": [
{
"address_1": "173 Chelsea St",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "MA",
"postal_code": "021494632",
"country_code": "US",
"telephone_number": "781-388-6256",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "95 Pleasant St # 1",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "019011524",
"country_code": "US",
"telephone_number": "781-388-6256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAIN",
"first_name": "KATHLEEN",
"middle_name": "ISABELLE",
"name_prefix": "Miss",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-14",
"last_updated": "2022-01-14",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saugus, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.