Katherine Crete
Individual provider Active NPI Mental Health Counselor · Raynham, MA
NPI 1104595743 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1104595743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LMHC10002667 (MA)
- Practice address
- 1244 Broadway
Raynham, MA 02767-1973 - Phone
- (508) 202-1811
- NPI assigned
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Child and Family Services, Inc.
Practice addresses (Care Compare)
160 Osborn St
Fall River, MA 02724-2814
Phone (508) 676-5708
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250204001245 | MA | Practitioner - Mental Health Counselor | 7416487665 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child & Family Services, Inc. | Mental Health | Current |
Accepting new patients |
Locations
160 Osborn St
Fall River, MA 02724
Phone (508) 317-8330
3057 Acushnet Ave
New Bedford, MA 02745
Phone (508) 742-1040
965 Church St
New Bedford, MA 02745
Phone (508) 996-3154
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | LMHC10002667 | MA | Yes |
Addresses
Primary practice location
1244 Broadway
Raynham, MA 02767-1973
Mailing address
1244 Broadway
Raynham, MA 02767-1973
Phone (508) 202-1811
Other providers in Raynham, MA
- Michelle Theresa Clark
- Shannon Cole
- Commonwealth Pediatric Dental
- Amanda Costa
- Stefanie Costello
- Emily Grace Cruz
- Ashley Marie Cummings
- Meredith Anne Curry
- Susan R. Curtiss
- CVS Pharmacy Inc
All providers in Raynham, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.