Individual provider Active NPI

Katherine Villard-Pichierri, MA

  • Mental Health Counselor
  • Edgartown, MA
National Provider Identifier
1114473790
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10627 Issued in MA
Practice address
6 N Neck Rd
Edgartown, MA 02539-4108
Phone
(508) 566-6663
NPI assigned
Sep 1, 2016
Last updated
Mar 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10627 MA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

6 N Neck Rd
Edgartown, MA 02539-4108

Mailing address

6 N Neck Rd
Edgartown, MA 02539-4108
Phone (508) 566-6663

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

State licenses

LicenseStateTypeSpecialty
10627MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Martha's Vineyard Community Services, Inc. Mental Health PastSince Jul 1, 2008 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1114473790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N NECK RD",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "025394108",
            "telephone_number": "508-566-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N NECK RD",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "025394108",
            "telephone_number": "508-566-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARD-PICHIERRI",
        "first_name": "KATHERINE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10627",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgartown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; 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.