Individual provider Active NPI

Kaysie Lynn Elg, M.ED.

  • Mental Health Counselor
  • Westfield, MA
National Provider Identifier
1114238102
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
77 Mill St
Suite 251
Westfield, MA 01085-4598
Phone
(413) 568-6141
Fax
(413) 572-4106
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 Primary

Addresses

Primary practice location

77 Mill St
Suite 251
Westfield, MA 01085-4598

Mailing address

45 Hadley St
Springfield, MA 01118-2335
Phone (413) 233-6313

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
I20240112004032 MA Practitioner - Mental Health Counselor 4880046978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colony Care IncGroup PAC ID 0042282055, 29 clinicians

Practice addresses (Care Compare)

11 River St
Wellesley, MA 02481-2098
Phone (781) 431-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Colony Care Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
The Carson Center Past Accepting new patients
Carson Center for Human Services, Inc. PastSince May 15, 2008 Accepting new patients

Locations

11 River St
Wellesley Hills, MA 02481
Phone (781) 237-7979

11 River St
Ste 1
Wellesley Hls, MA 02481
Phone (508) 695-7447

210 Winter St
Ste 306
Weymouth, MA 02188

Organizations & group practices 3

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1114238102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HADLEY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011182335",
            "telephone_number": "413-233-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MILL ST",
            "address_2": "SUITE 251",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854598",
            "telephone_number": "413-568-6141",
            "fax_number": "413-572-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELG",
        "first_name": "KAYSIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.