Individual provider Active NPI

Kayleigh J Greaney, LMHC11807

  • Mental Health Counselor
  • Newburyport, MA
National Provider Identifier
1093304628
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC11807 Issued in MA
Practice address
255 Low St Ste 302
Newburyport, MA 01950-3596
Phone
(978) 222-3121
Fax
(978) 296-3460
NPI assigned
Jan 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC11807 MA Primary

Addresses

Primary practice location

255 Low St Ste 302
Newburyport, MA 01950-3596

Mailing address

1506 Providence Hwy Unit 25
Norwood, MA 02062-4647
Phone (617) 401-7700

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
I20240124001775 MA Practitioner - Mental Health Counselor 4981057106 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMHC11807MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Behavioral Health Center LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

1506 Providence Hwy
Unit 25
Norwood, MA 02062
Phone (617) 401-7700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1093304628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 PROVIDENCE HWY UNIT 25",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624647",
            "telephone_number": "617-401-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LOW ST STE 302",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503596",
            "telephone_number": "978-222-3121",
            "fax_number": "978-296-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREANEY",
        "first_name": "KAYLEIGH",
        "middle_name": "J",
        "credential": "LMHC11807",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC11807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.