NPIMap

Organization Active NPI

Kelley Costello, LMFT, Inc.

  • Marriage & Family Therapist
  • Attleboro, MA
National Provider Identifier
1164029344
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KELLEY COSTELLO, LMFT, INC.
Practice address
10 S Main St Ste 207
Attleboro, MA 02703-2920
Phone
(774) 322-1306
NPI assigned
Oct 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Ms. Kelley Anne Costello, LMFTNPI 1831539717
Title
Owner/President
Phone
(774) 322-1306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

10 S Main St Ste 207
Attleboro, MA 02703-2920

Mailing address

10 S Main St Ste 207
Attleboro, MA 02703-2920
Phone (774) 322-1306

Other names 1

  • Kelley Costello, LMFT, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

10 S Main St
Ste 207
Attleboro, MA 02703
Phone (774) 322-1306

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1164029344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S MAIN ST STE 207",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032920",
            "telephone_number": "774-322-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S MAIN ST STE 207",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032920",
            "telephone_number": "774-322-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY COSTELLO, LMFT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "774-322-1306",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelley Costello, LMFT, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.